| Springbox Therapy Llc | |
|
3217 Hennepin Ave Ste 5 Minneapolis MN 55408-4695 | |
| (612) 239-2796 | |
| (888) 971-3874 |
| Full Name | Springbox Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3217 Hennepin Ave Ste 5, Minneapolis, Minnesota |
| Authorized Official Name and Position | Georgeanna Ingersoll Lewis (THERAPIST/OWNER) |
| Authorized Official Contact | 6122392796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springbox Therapy Llc 3217 Hennepin Ave Ste 5 Minneapolis MN 55408-4695 Ph: (612) 239-2796 | Springbox Therapy Llc 3217 Hennepin Ave Ste 5 Minneapolis MN 55408-4695 Ph: (612) 239-2796 |
| NPI Number | 1558012286 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 6507245255 |
|---|---|
| Medicare Enrollment ID | O20220627001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558012286 | NPI | - | NPPES |
| Provider Name | Georgeanna Ingersoll Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821246588 PECOS PAC ID: 1052549888 Enrollment ID: I20140124000350 |
| Provider Name | Sean M Toren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184291395 PECOS PAC ID: 3173915618 Enrollment ID: I20220113001617 |
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