| The Blue Couch | |
|
1400 Madison Ave Ste 322 Mankato MN 56001-5465 | |
| (507) 702-3030 | |
| (507) 702-3030 |
| Full Name | The Blue Couch |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 Madison Ave Ste 322, Mankato, Minnesota |
| Authorized Official Name and Position | Staci Born (OWNER, CEO) |
| Authorized Official Contact | 5073800626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Blue Couch 1400 Madison Ave Ste 322 Mankato MN 56001-5465 Ph: (507) 702-3030 | The Blue Couch 1400 Madison Ave Ste 322 Mankato MN 56001-5465 Ph: (507) 702-3030 |
| NPI Number | 1780335505 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780335505 | NPI | - | NPPES |
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