| Tonya Wilhelm Therapy And Consulting Pa | |
|
16228 Main Ave Se Ste 109 Prior Lake MN 55372-1789 | |
| (612) 430-6486 | |
| Not Available |
| Full Name | Tonya Wilhelm Therapy And Consulting Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 16228 Main Ave Se Ste 109, Prior Lake, Minnesota |
| Authorized Official Name and Position | Tonya Wilhelm (OWNER) |
| Authorized Official Contact | 6128889680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Wilhelm Therapy And Consulting Pa 16228 Main Ave Se, Ste 109 Prior Lake MN 55372-1789 Ph: (612) 430-6486 | Tonya Wilhelm Therapy And Consulting Pa 16228 Main Ave Se Ste 109 Prior Lake MN 55372-1789 Ph: (612) 430-6486 |
| NPI Number | 1982252664 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 6002203593 |
|---|---|
| Medicare Enrollment ID | O20220502002089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982252664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tonya L Wilhelm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245619014 PECOS PAC ID: 9537556022 Enrollment ID: I20220502002199 |
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