Pristine Mental Health Services Llc | |
1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 | |
(651) 246-2851 | |
Not Available |
Full Name | Pristine Mental Health Services Llc |
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Speciality | Clinic/center |
Location | 1053 Grand Ave Ste 102, Saint Paul, Minnesota |
Authorized Official Name and Position | Hassan Hussein (OWNER) |
Authorized Official Contact | 6512462851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pristine Mental Health Services Llc 1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 Ph: () - | Pristine Mental Health Services Llc 1053 Grand Ave Ste 102 Saint Paul MN 55105-3074 Ph: (651) 246-2851 |
NPI Number | 1376310847 |
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Provider Enumeration Date | 12/05/2023 |
Last Update Date | 12/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376310847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |