Therapy Connections, Llc | |
5200 Willson Rd Ste 150 Edina MN 55424-1300 | |
(763) 270-0054 | |
(763) 208-6371 |
Full Name | Therapy Connections, Llc |
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Speciality | Community/Behavioral Health |
Location | 5200 Willson Rd Ste 150, Edina, Minnesota |
Authorized Official Name and Position | Michael J Boike (BUSINESS MANAGER) |
Authorized Official Contact | 7632700054 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapy Connections, Llc 5200 Willson Rd Ste 150 Edina MN 55424-1300 Ph: (763) 270-0054 | Therapy Connections, Llc 5200 Willson Rd Ste 150 Edina MN 55424-1300 Ph: (763) 270-0054 |
NPI Number | 1730355603 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 7214007384 |
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Medicare Enrollment ID | O20080602000042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730355603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 15207 (Minnesota) | Primary |
Provider Name | Jill D Boike |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386702561 PECOS PAC ID: 1951471028 Enrollment ID: I20080602000033 |
Provider Name | Michael J Boike |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1396004586 PECOS PAC ID: 8325199110 Enrollment ID: I20240308000562 |
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