| Sociability, Pllc | |
|
801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 | |
| (612) 380-3430 | |
| Not Available |
| Full Name | Sociability, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, Minnesota |
| Authorized Official Name and Position | Alexandra Lloyd Conroy (OWNER AND DIRECTOR) |
| Authorized Official Contact | 6514944496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sociability, Pllc 801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 Ph: (612) 380-3430 | Sociability, Pllc 801 Twelve Oaks Center Dr Ste 816a Wayzata MN 55391-4635 Ph: (612) 380-3430 |
| NPI Number | 1265002299 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 6204293582 |
|---|---|
| Medicare Enrollment ID | O20230531003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265002299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alexandra Lloyd Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790386456 PECOS PAC ID: 3375900657 Enrollment ID: I20230531003266 |
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