| St. Cloud Tms Llc | |
|
925 E Superior St Ste 106 Duluth MN 55802-2253 | |
| (218) 481-0220 | |
| (218) 481-0325 |
| Full Name | St. Cloud Tms Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 925 E Superior St Ste 106, Duluth, Minnesota |
| Authorized Official Name and Position | Eric Austin Johnson (OWNER) |
| Authorized Official Contact | 2184810220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Cloud Tms Llc 925 E Superior St Ste 106 Duluth MN 55802-2253 Ph: (218) 481-0220 | St. Cloud Tms Llc 925 E Superior St Ste 106 Duluth MN 55802-2253 Ph: (218) 481-0220 |
| NPI Number | 1821698671 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821698671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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