| Wellbeing Psychotherapy, Inc. | |
|
2100 1st Ave S Suite 204 Minneapolis MN 55404-3488 | |
| (612) 418-5637 | |
| Not Available |
| Full Name | Wellbeing Psychotherapy, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2100 1st Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Susan Thomas-mcgregor (OWNER) |
| Authorized Official Contact | 6124185637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbeing Psychotherapy, Inc. 2100 1st Ave S Suite 204 Minneapolis MN 55404-3488 Ph: (612) 418-5637 | Wellbeing Psychotherapy, Inc. 2100 1st Ave S Suite 204 Minneapolis MN 55404-3488 Ph: (612) 418-5637 |
| NPI Number | 1780130757 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780130757 | NPI | - | NPPES |
| 1518224245 | Other | MN | NPI ENUMERATOR FOR ORGANIZATION (THIS UPDATE IS FOR NAME CHANGE OF OWNER ONLY) |
| A131613300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT1393 (Minnesota) | Primary |
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