| Redwood Counseling Llc | |
|
4201 Quaker Trl Ne Prior Lake MN 55372-1744 | |
| (320) 282-6027 | |
| Not Available |
| Full Name | Redwood Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4201 Quaker Trl Ne, Prior Lake, Minnesota |
| Authorized Official Name and Position | Anna Norah Ruschmeyer Bowe (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 3202826027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Counseling Llc 4201 Quaker Trl Ne Prior Lake MN 55372-1744 Ph: (320) 282-6027 | Redwood Counseling Llc 4201 Quaker Trl Ne Prior Lake MN 55372-1744 Ph: (320) 282-6027 |
| NPI Number | 1720465669 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Medicare PECOS PAC ID | 2961716030 |
|---|---|
| Medicare Enrollment ID | O20150803001492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720465669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anna N Ruschmeyer Bowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376832980 PECOS PAC ID: 4082890876 Enrollment ID: I20110511000709 |
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