| The Family Development Center | |
|
475 Cleveland Ave N Ste 316 Saint Paul MN 55104-5051 | |
| (651) 330-3434 | |
| (651) 330-3581 |
| Full Name | The Family Development Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 475 Cleveland Ave N Ste 316, Saint Paul, Minnesota |
| Authorized Official Name and Position | Alyssa Wright (COO) |
| Authorized Official Contact | 6513303434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Development Center 475 Cleveland Ave N Ste 316 Saint Paul MN 55104-5051 Ph: () - | The Family Development Center 475 Cleveland Ave N Ste 316 Saint Paul MN 55104-5051 Ph: (651) 330-3434 |
| NPI Number | 1629508742 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 2860842788 |
|---|---|
| Medicare Enrollment ID | O20231219000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629508742 | NPI | - | NPPES |
| Provider Name | Emily Elizabeth Bade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265809479 PECOS PAC ID: 6204102221 Enrollment ID: I20171019000077 |
| Provider Name | Manuela Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821705641 PECOS PAC ID: 3971973900 Enrollment ID: I20230106002471 |
| Provider Name | Margaret Elizabeth Wilkinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083263032 PECOS PAC ID: 1759732647 Enrollment ID: I20240104002400 |
| Provider Name | Alyssa Ann Wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174542567 PECOS PAC ID: 6305296229 Enrollment ID: I20240104003804 |
| Provider Name | Dionne L Trice |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740062934 PECOS PAC ID: 2365885381 Enrollment ID: I20240207000751 |
| Provider Name | Sandy Youa Yang-james |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457713968 PECOS PAC ID: 4688017239 Enrollment ID: I20240210000024 |
| Provider Name | Amy Jo Pierce |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477824985 PECOS PAC ID: 0042360281 Enrollment ID: I20240210000587 |
| Provider Name | Delta Larkey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477836815 PECOS PAC ID: 7113377037 Enrollment ID: I20240216002965 |
| Provider Name | Kathleen Marie Dando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871951772 PECOS PAC ID: 7113365933 Enrollment ID: I20240329000601 |
| Provider Name | Laura Barbeau |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366766594 PECOS PAC ID: 1355780776 Enrollment ID: I20240418002065 |
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