| Therapeutic Services Agency Inc | |
|
220 Railroad St Se Pine City MN 55063 | |
| (320) 629-7600 | |
| (320) 629-7900 |
| Full Name | Therapeutic Services Agency Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 220 Railroad St Se, Pine City, Minnesota |
| Authorized Official Name and Position | C Kay Johnson (BUSINESS MANAGER) |
| Authorized Official Contact | 3206297600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Services Agency Inc 220 Railroad St Se Pine City MN 55063 Ph: (320) 629-7600 | Therapeutic Services Agency Inc 220 Railroad St Se Pine City MN 55063 Ph: (320) 629-7600 |
| NPI Number | 1821076597 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821076597 | NPI | - | NPPES |
| 847216500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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Therapeutic Services Agency Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 |