| The Recovery Space Llc | |
|
522 Beltrami Ave Nw Ste 11 Bemidji MN 56601-3181 | |
| (612) 219-5373 | |
| (218) 520-3927 |
| Full Name | The Recovery Space Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 522 Beltrami Ave Nw Ste 11, Bemidji, Minnesota |
| Authorized Official Name and Position | Isabella Katherine Schaefer (OWNER) |
| Authorized Official Contact | 6122195373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Recovery Space Llc 522 Beltrami Ave Nw Ste 11 Bemidji MN 56601-3181 Ph: (612) 219-5373 | The Recovery Space Llc 522 Beltrami Ave Nw Ste 11 Bemidji MN 56601-3181 Ph: (612) 219-5373 |
| NPI Number | 1396598322 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396598322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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