| River Crossings Counseling And Consulting Llc | |
|
2104 Park Ave Minneapolis MN 55404-6607 | |
| (651) 357-8872 | |
| Not Available |
| Full Name | River Crossings Counseling And Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2104 Park Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Michelle Austin (OWNER) |
| Authorized Official Contact | 6513578872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Crossings Counseling And Consulting Llc 6932 Innsdale Ave S Cottage Grove MN 55016-1248 Ph: (651) 357-8872 | River Crossings Counseling And Consulting Llc 2104 Park Ave Minneapolis MN 55404-6607 Ph: (651) 357-8872 |
| NPI Number | 1609489517 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 2769861103 |
|---|---|
| Medicare Enrollment ID | O20220615001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609489517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle M Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114391513 PECOS PAC ID: 3577868405 Enrollment ID: I20160301001972 |
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