Revealing Life Holistic Services, Llc | |
1935 County Road B2 W Ste 245 Roseville MN 55113-2722 | |
(507) 363-9365 | |
Not Available |
Full Name | Revealing Life Holistic Services, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1935 County Road B2 W Ste 245, Roseville, Minnesota |
Authorized Official Name and Position | Maren Leslie Mittal (FOUNDER) |
Authorized Official Contact | 5073639365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revealing Life Holistic Services, Llc 1675 Village Trl E Unit 6 Maplewood MN 55109-5820 Ph: (507) 363-9365 | Revealing Life Holistic Services, Llc 1935 County Road B2 W Ste 245 Roseville MN 55113-2722 Ph: (507) 363-9365 |
NPI Number | 1346065349 |
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Provider Enumeration Date | 11/15/2024 |
Last Update Date | 11/15/2024 |
Certification Date | 11/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346065349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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