| Turnage Therapeutic Services Inc | |
|
200 Hopkins Xrd Minnetonka MN 55305-1461 | |
| (612) 283-3617 | |
| (612) 314-8633 |
| Full Name | Turnage Therapeutic Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 200 Hopkins Xrd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Demetria Turnage (CEO) |
| Authorized Official Contact | 6122833617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turnage Therapeutic Services Inc 200 Hopkins Xrd Minnetonka MN 55305-1461 Ph: (612) 283-3617 | Turnage Therapeutic Services Inc 200 Hopkins Xrd Minnetonka MN 55305-1461 Ph: (612) 283-3617 |
| NPI Number | 1588122063 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Medicare PECOS PAC ID | 7719395417 |
|---|---|
| Medicare Enrollment ID | O20210419001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588122063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary C Welty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427496157 PECOS PAC ID: 5799194270 Enrollment ID: I20210513001257 |
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