| Tara's Restoration Counseling And Coaching | |
|
411 3rd St Se Osseo MN 55369-1606 | |
| (763) 498-3068 | |
| Not Available |
| Full Name | Tara's Restoration Counseling And Coaching |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 411 3rd St Se, Osseo, Minnesota |
| Authorized Official Name and Position | Tara Elie (OWNER) |
| Authorized Official Contact | 7634983068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara's Restoration Counseling And Coaching 411 3rd St Se Osseo MN 55369-1606 Ph: (763) 498-3068 | Tara's Restoration Counseling And Coaching 411 3rd St Se Osseo MN 55369-1606 Ph: (763) 498-3068 |
| NPI Number | 1447015060 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 2365880218 |
|---|---|
| Medicare Enrollment ID | O20240410003835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447015060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Tara Bethany Elie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386069524 PECOS PAC ID: 3274971122 Enrollment ID: I20240410003876 |
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