| Upward Support Services, Llc | |
|
1710 Douglas Dr N Ste 225p Golden Valley MN 55422-4365 | |
| (612) 208-3068 | |
| Not Available |
| Full Name | Upward Support Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1710 Douglas Dr N Ste 225p, Golden Valley, Minnesota |
| Authorized Official Name and Position | Gebremariam Alem Gebremicael (OWNER) |
| Authorized Official Contact | 6122083068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Support Services, Llc 1710 Douglas Dr N Ste 225p Golden Valley MN 55422-4365 Ph: (612) 208-3068 | Upward Support Services, Llc 1710 Douglas Dr N Ste 225p Golden Valley MN 55422-4365 Ph: (612) 208-3068 |
| NPI Number | 1982447264 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 5294276333 |
|---|---|
| Medicare Enrollment ID | O20240917002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982447264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gebremariam Alem Gebremicael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285997528 PECOS PAC ID: 9739443839 Enrollment ID: I20180425001785 |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |