| The Counseling Shop | |
|
7242 Forestview Ln N The Counseling Shop Maple Grove MN 55369-5628 | |
| (763) 400-7075 | |
| (763) 400-7078 |
| Full Name | The Counseling Shop |
|---|---|
| Speciality | Social Worker |
| Location | 7242 Forestview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Patricia Ann Hill (OWNER) |
| Authorized Official Contact | 7632294933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Shop 7242 Forestview Ln N The Counseling Shop Maple Grove MN 55369-5628 Ph: (763) 400-7075 | The Counseling Shop 7242 Forestview Ln N The Counseling Shop Maple Grove MN 55369-5628 Ph: (763) 400-7075 |
| NPI Number | 1588954176 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 7416121322 |
|---|---|
| Medicare Enrollment ID | O20111110000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588954176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15021 (Minnesota) | Primary |
| Provider Name | Patricia A Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881657229 PECOS PAC ID: 6507894391 Enrollment ID: I20050802000977 |
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