| Thrive Modern Health P.a. | |
|
7101 York Ave S Ste 157 Edina MN 55435-4420 | |
| (612) 254-6414 | |
| Not Available |
| Full Name | Thrive Modern Health P.a. |
|---|---|
| Speciality | Counselor |
| Location | 7101 York Ave S Ste 157, Edina, Minnesota |
| Authorized Official Name and Position | David Belseth (DIRECTOR) |
| Authorized Official Contact | 6127302237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Modern Health P.a. 7101 York Ave S Ste 157 Edina MN 55435-4420 Ph: (612) 386-7939 | Thrive Modern Health P.a. 7101 York Ave S Ste 157 Edina MN 55435-4420 Ph: (612) 254-6414 |
| NPI Number | 1043091010 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2264874940 |
|---|---|
| Medicare Enrollment ID | O20240527000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043091010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alexandra Mary Tamsin Myhill-jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285415745 PECOS PAC ID: 8921540295 Enrollment ID: I20240603002177 |
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