| Threads Of Hope Counseling, Llc | |
|
3410 Federal Drive Suite 101 Eagan MN 55122-1337 | |
| (651) 560-0050 | |
| (651) 925-0257 |
| Full Name | Threads Of Hope Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3410 Federal Drive, Eagan, Minnesota |
| Authorized Official Name and Position | Jennifer E Beall (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 6515600050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Threads Of Hope Counseling, Llc 3410 Federal Drive Suite 101 Eagan MN 55122-1337 Ph: (651) 560-0050 | Threads Of Hope Counseling, Llc 3410 Federal Drive Suite 101 Eagan MN 55122-1337 Ph: (651) 560-0050 |
| NPI Number | 1194190728 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 11/01/2023 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 5890139620 |
|---|---|
| Medicare Enrollment ID | O20240220001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194190728 | NPI | - | NPPES |
| Provider Name | Jennifer Ann Stubblefield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801389382 PECOS PAC ID: 9335591916 Enrollment ID: I20240118004457 |
| Provider Name | Jennifer E Beall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649703414 PECOS PAC ID: 6709220536 Enrollment ID: I20240220001671 |
| Provider Name | Krista Newman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558755900 PECOS PAC ID: 4284070848 Enrollment ID: I20240306002091 |
| Provider Name | Jennifer Sue Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356993125 PECOS PAC ID: 6002252418 Enrollment ID: I20240307003051 |
| Provider Name | Cynthia Kay Hodgson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437781820 PECOS PAC ID: 2062858376 Enrollment ID: I20240308002816 |
| Provider Name | Lisa R Malecha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699483024 PECOS PAC ID: 5698111813 Enrollment ID: I20240311002228 |
| Provider Name | Emily Kay Carbone Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598313223 PECOS PAC ID: 1759729288 Enrollment ID: I20240403002357 |
| Provider Name | Beth Kay Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467982512 PECOS PAC ID: 6204274178 Enrollment ID: I20240411000251 |
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