Your Path, Llc | |
700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 | |
(612) 895-1511 | |
Not Available |
Full Name | Your Path, Llc |
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Speciality | Clinic/center |
Location | 700 Raymond Ave Ste 130, Saint Paul, Minnesota |
Authorized Official Name and Position | Jordan Hansen (OWNER) |
Authorized Official Contact | 6128951511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Your Path, Llc 700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 Ph: () - | Your Path, Llc 700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 Ph: (612) 895-1511 |
NPI Number | 1093451361 |
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Provider Enumeration Date | 05/10/2022 |
Last Update Date | 05/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093451361 | 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 |