| Pavlik Mental Health | |
|
15025 Glazier Ave Ste 236b Apple Valley MN 55124-6300 | |
| (651) 246-8895 | |
| Not Available |
| Full Name | Pavlik Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15025 Glazier Ave Ste 236b, Apple Valley, Minnesota |
| Authorized Official Name and Position | Emily Pavlik (OWNER, MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6512468895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavlik Mental Health 15025 Glazier Ave Ste 236b Apple Valley MN 55124-6300 Ph: (651) 246-8895 | Pavlik Mental Health 15025 Glazier Ave Ste 236b Apple Valley MN 55124-6300 Ph: (651) 246-8895 |
| NPI Number | 1225397326 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225397326 | NPI | - | NPPES |
| 2458577 | Other | MN | MINNESOTA CARE TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 301842 (Minnesota) | Primary |
| 251S00000X | Community/behavioral Health | 2221 (Minnesota) | Secondary |
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