Transform Within Wellness Center, Llc | |
700 Commerce Dr Ste 295 Woodbury MN 55125-9245 | |
(651) 442-8214 | |
Not Available |
Full Name | Transform Within Wellness Center, Llc |
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Speciality | Social Worker - Clinical |
Location | 700 Commerce Dr Ste 295, Woodbury, Minnesota |
Authorized Official Name and Position | Kelly R. Volkmann (OWNER) |
Authorized Official Contact | 6514428214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Transform Within Wellness Center, Llc 700 Commerce Dr Ste 295 Woodbury MN 55125-9245 Ph: (651) 442-8214 | Transform Within Wellness Center, Llc 700 Commerce Dr Ste 295 Woodbury MN 55125-9245 Ph: (651) 442-8214 |
NPI Number | 1902392459 |
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Provider Enumeration Date | 07/09/2018 |
Last Update Date | 07/09/2018 |
Identifier | Type | State | Issuer |
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1902392459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 301542 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 15251 (Minnesota) | Primary |
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