| Veemah Integrated Wellness & Consulting Services, Llc | |
|
11112 Hillsboro Ave N Champlin MN 55316-3128 | |
| (763) 228-8086 | |
| Not Available |
| Full Name | Veemah Integrated Wellness & Consulting Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11112 Hillsboro Ave N, Champlin, Minnesota |
| Authorized Official Name and Position | Vivian Korpo Ballah-swaray (PSYCHOLOGIST) |
| Authorized Official Contact | 7632288086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Veemah Integrated Wellness & Consulting Services, Llc 11112 Hillsboro Ave N Champlin MN 55316-3128 Ph: () - | Veemah Integrated Wellness & Consulting Services, Llc 11112 Hillsboro Ave N Champlin MN 55316-3128 Ph: (763) 228-8086 |
| NPI Number | 1982103644 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 9436482395 |
|---|---|
| Medicare Enrollment ID | O20190607000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982103644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP6152 (Minnesota) | Primary |
| Provider Name | Vivian K Ballah Swaray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902316821 PECOS PAC ID: 7012278690 Enrollment ID: I20180222000098 |
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