| Rose Psychotherapy | |
|
16204 Highway 7 Minnetonka MN 55345-3405 | |
| (612) 293-8564 | |
| Not Available |
| Full Name | Rose Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 16204 Highway 7, Minnetonka, Minnesota |
| Authorized Official Name and Position | Callie Rose (OWNER/PROVIDER) |
| Authorized Official Contact | 6122938564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Psychotherapy 7771 157th St W Saint Paul MN 55124-6362 Ph: () - | Rose Psychotherapy 16204 Highway 7 Minnetonka MN 55345-3405 Ph: (612) 293-8564 |
| NPI Number | 1285409391 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 9638528805 |
|---|---|
| Medicare Enrollment ID | O20231213001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285409391 | NPI | - | NPPES |
| Provider Name | Callie C Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235715467 PECOS PAC ID: 5496163537 Enrollment ID: I20210409000867 |
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