| Tru Chrysalis Pllc | |
|
275 4th St E Ste 807 Saint Paul MN 55101-1687 | |
| (612) 462-5121 | |
| Not Available |
| Full Name | Tru Chrysalis Pllc |
|---|---|
| Speciality | Counselor |
| Location | 275 4th St E Ste 807, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kau Macador Queeglay (PRESIDENT) |
| Authorized Official Contact | 6124625121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Chrysalis Pllc 275 4th St E Ste 807 Saint Paul MN 55101-1687 Ph: (612) 462-5121 | Tru Chrysalis Pllc 275 4th St E Ste 807 Saint Paul MN 55101-1687 Ph: (612) 462-5121 |
| NPI Number | 1336855634 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 0749716314 |
|---|---|
| Medicare Enrollment ID | O20241205002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336855634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Miriam Ingutia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164602363 PECOS PAC ID: 6406008713 Enrollment ID: I20121213000352 |
| Provider Name | Kau Macador Queeglay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417510165 PECOS PAC ID: 0143664573 Enrollment ID: I20240214000208 |
Charles Mccafferty, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 977 Summit Ave, Saint Paul, MN 55105 Phone: 651-227-6369 Fax: 651-227-9545 | |
Therapy World Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N Ste 861, Saint Paul, MN 55104 Phone: 651-347-8037 Fax: 651-340-4552 | |
Tanglefish Emotional Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 821 Raymond Ave Ste 300, Saint Paul, MN 55114 Phone: 612-213-4510 Fax: 612-361-5464 | |
Persevere Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Payne Ave, Saint Paul, MN 55130 Phone: 651-376-9427 | |
Harmony Mental Health Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2136 Ford Pkwy # 5609, Saint Paul, MN 55116 Phone: 651-273-9074 Fax: 651-240-6036 | |
Comfort Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2554 Como Ave Ste 6, Saint Paul, MN 55108 Phone: 651-363-6866 |