| The Nest | |
|
333 Main St. N Suite #110 Stillwater MN 55082-4903 | |
| (651) 300-8135 | |
| (651) 413-3380 |
| Full Name | The Nest |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 333 Main St. N, Stillwater, Minnesota |
| Authorized Official Name and Position | Harmony A. Carlson (CLINICAL PSYCHOLOGIST/CLINIC OWNER) |
| Authorized Official Contact | 6514259297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Nest 333 Main St. N Suite #110 Stillwater MN 55082-4903 Ph: (651) 300-8135 | The Nest 333 Main St. N Suite #110 Stillwater MN 55082-4903 Ph: (651) 300-8135 |
| NPI Number | 1508314071 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 6608239819 |
|---|---|
| Medicare Enrollment ID | O20230905002907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508314071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP 5418 (Minnesota) | Primary |
| Provider Name | Gretchen S Kirvida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215097928 PECOS PAC ID: 8921050188 Enrollment ID: I20050216000062 |
| Provider Name | Harmony Ann Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922375757 PECOS PAC ID: 7416310628 Enrollment ID: I20230905002967 |
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