Thriving Health Center Llc | |
1875 Plaza Dr Ste 17 Eagan MN 55122-2613 | |
(612) 716-8019 | |
Not Available |
Full Name | Thriving Health Center Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1875 Plaza Dr Ste 17, Eagan, Minnesota |
Authorized Official Name and Position | Hussein Hassan (OWNER) |
Authorized Official Contact | 6127168019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thriving Health Center Llc 1875 Plaza Dr Ste 17 Eagan MN 55122-2613 Ph: () - | Thriving Health Center Llc 1875 Plaza Dr Ste 17 Eagan MN 55122-2613 Ph: (612) 716-8019 |
NPI Number | 1689409674 |
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Provider Enumeration Date | 09/07/2024 |
Last Update Date | 09/07/2024 |
Certification Date | 09/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689409674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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