Renew Mental Health Pllc | |
1500 Mcandrews Rd W Ste 124 Burnsville MN 55337-4432 | |
(651) 328-9831 | |
(612) 416-8143 |
Full Name | Renew Mental Health Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1500 Mcandrews Rd W Ste 124, Burnsville, Minnesota |
Authorized Official Name and Position | Emily Marie Axen (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 6513289831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renew Mental Health Pllc 13914 Aquila Cir Savage MN 55378-2155 Ph: (651) 328-9831 | Renew Mental Health Pllc 1500 Mcandrews Rd W Ste 124 Burnsville MN 55337-4432 Ph: (651) 328-9831 |
NPI Number | 1942813373 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 07/18/2023 |
Certification Date | 07/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942813373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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