| Resolve Behavioral Health, Llc | |
|
100 4th St S Fargo ND 58103-1929 | |
| (701) 371-5396 | |
| Not Available |
| Full Name | Resolve Behavioral Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 4th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Brian K Moe (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7013715396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolve Behavioral Health, Llc 100 4th St S Fargo ND 58103-1929 Ph: () - | Resolve Behavioral Health, Llc 100 4th St S Fargo ND 58103-1929 Ph: (701) 371-5396 |
| NPI Number | 1861945784 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 1052741089 |
|---|---|
| Medicare Enrollment ID | O20200415001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861945784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brian K Moe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396048518 PECOS PAC ID: 0749420008 Enrollment ID: I20130709000837 |
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