| Soaring Eagle Therapeutic Services, Llc | |
|
2046 Saint Clair Ave Saint Paul MN 55105-1650 | |
| (651) 269-0485 | |
| Not Available |
| Full Name | Soaring Eagle Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2046 Saint Clair Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jay Russell Hunter (THERAPIST) |
| Authorized Official Contact | 6512690485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring Eagle Therapeutic Services, Llc 1775 Juliet Ave Saint Paul MN 55105-2124 Ph: (651) 269-0485 | Soaring Eagle Therapeutic Services, Llc 2046 Saint Clair Ave Saint Paul MN 55105-1650 Ph: (651) 269-0485 |
| NPI Number | 1477829935 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477829935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1605 (Minnesota) | Primary |
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