| Unlocking Beauty, Llc | |
|
201 Lake Ave Park Rapids MN 56470-1410 | |
| (218) 366-0580 | |
| Not Available |
| Full Name | Unlocking Beauty, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 Lake Ave, Park Rapids, Minnesota |
| Authorized Official Name and Position | Diane Cerven (CEO) |
| Authorized Official Contact | 2183660580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlocking Beauty, Llc Po Box 322 Osage MN 56570-0322 Ph: (218) 366-0580 | Unlocking Beauty, Llc 201 Lake Ave Park Rapids MN 56470-1410 Ph: (218) 366-0580 |
| NPI Number | 1801643523 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801643523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Lake Country Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 515 Bridge St, Park Rapids, MN 56470 Phone: 218-366-9229 | |
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