Integrative Health, Llc | |
988 Inwood Ave N Oakdale MN 55128-6625 | |
(651) 263-4438 | |
Not Available |
Full Name | Integrative Health, Llc |
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Speciality | Clinic/Center |
Location | 988 Inwood Ave N, Oakdale, Minnesota |
Authorized Official Name and Position | Calsey E Fasching (PARTNER) |
Authorized Official Contact | 6512634388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Health, Llc 7 Yellow Birch Rd Dellwood MN 55110-1413 Ph: (651) 263-4438 | Integrative Health, Llc 988 Inwood Ave N Oakdale MN 55128-6625 Ph: (651) 263-4438 |
NPI Number | 1396314654 |
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Provider Enumeration Date | 06/22/2021 |
Last Update Date | 06/28/2021 |
Medicare PECOS PAC ID | 5698164895 |
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Medicare Enrollment ID | O20211109002570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396314654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Dina Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699290155 PECOS PAC ID: 6901170075 Enrollment ID: I20170928001262 |
Provider Name | Randall L Morris Ostrom |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174891618 PECOS PAC ID: 4385901347 Enrollment ID: I20171129001015 |
Provider Name | Calsey Elizabeth Fasching |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194232975 PECOS PAC ID: 5496015067 Enrollment ID: I20190111001330 |
Provider Name | Cynthia L Knoell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114216124 PECOS PAC ID: 3476911827 Enrollment ID: I20230616003035 |
Provider Name | Caileigh E Peters |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851085641 PECOS PAC ID: 4082076039 Enrollment ID: I20230808003732 |
Provider Name | Roseline Yang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912681818 PECOS PAC ID: 0244694248 Enrollment ID: I20230908002914 |
Provider Name | Aaron B Leet |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174816326 PECOS PAC ID: 1951790153 Enrollment ID: I20240212000579 |
Provider Name | John L Newman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750949277 PECOS PAC ID: 9032553912 Enrollment ID: I20240219003468 |
Provider Name | Whitney S Hinrichs |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811414584 PECOS PAC ID: 9032554688 Enrollment ID: I20240305002212 |
Provider Name | Jessee A Daley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245713825 PECOS PAC ID: 6204271885 Enrollment ID: I20240305003570 |
Provider Name | Brittani Porter |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487971016 PECOS PAC ID: 1355788795 Enrollment ID: I20240321001839 |
Provider Name | Brittanie L Omodt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356930960 PECOS PAC ID: 0345689139 Enrollment ID: I20240412001054 |
Provider Name | Sara J Bowd |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1154857464 PECOS PAC ID: 9638518178 Enrollment ID: I20240417002460 |
Provider Name | Justina L Stich |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992207096 PECOS PAC ID: 6305296054 Enrollment ID: I20240611000941 |
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