| Therapy Works Midwest Pllc | |
|
4200 James Ray Dr Grand Forks ND 58202-6090 | |
| (701) 760-8599 | |
| Not Available |
| Full Name | Therapy Works Midwest Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4200 James Ray Dr, Grand Forks, North Dakota |
| Authorized Official Name and Position | Rhonda Dockter (OWNER) |
| Authorized Official Contact | 7017405883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Works Midwest Pllc 4200 James Ray Dr Grand Forks ND 58202-6090 Ph: () - | Therapy Works Midwest Pllc 4200 James Ray Dr Grand Forks ND 58202-6090 Ph: (701) 760-8599 |
| NPI Number | 1639751290 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 9234538851 |
|---|---|
| Medicare Enrollment ID | O20210601001462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639751290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rhonda W Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194102822 PECOS PAC ID: 4789996737 Enrollment ID: I20150702002228 |
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