| Sarva Psychotherapy And Wellness Llc | |
|
10501 Wayzata Blvd Ste 204 Minnetonka MN 55305-1519 | |
| (612) 293-0848 | |
| Not Available |
| Full Name | Sarva Psychotherapy And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 10501 Wayzata Blvd Ste 204, Minnetonka, Minnesota |
| Authorized Official Name and Position | Enakshi Choudhuri (OWNER) |
| Authorized Official Contact | 7636071019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarva Psychotherapy And Wellness Llc 3300 Plymouth Blvd # 46294 Plymouth MN 55447-1897 Ph: (612) 293-0848 | Sarva Psychotherapy And Wellness Llc 10501 Wayzata Blvd Ste 204 Minnetonka MN 55305-1519 Ph: (612) 293-0848 |
| NPI Number | 1114567856 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Medicare PECOS PAC ID | 9931641412 |
|---|---|
| Medicare Enrollment ID | O20240612001458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114567856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Enakshi Choudhuri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326446998 PECOS PAC ID: 4486196961 Enrollment ID: I20240612001827 |
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