| Johanna Gaia Rose, LMFT | |
|
3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
| (701) 388-8255 | |
| Not Available |
| Full Name | Johanna Gaia Rose |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3875 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922763978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3868 (Minnesota) | Primary |
| Entity Name | Family Based Therapy Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194762005 PECOS PAC ID: 2264432681 Enrollment ID: O20070110000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Gaia Rose, LMFT 3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 Ph: () - | Johanna Gaia Rose, LMFT 3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 Ph: (701) 388-8255 |
Douglas P. Robinson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 306, Coon Rapids, MN 55433 Phone: 763-780-1520 | |
Melanie Carlson-kappes, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Paul Reps, Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 612-440-1899 | |
Laura Michelle Derosier-moran, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-363-6219 | |
Ms. Julianne E. Love, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433 Phone: 612-968-0574 | |
James B Benda, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-746-5068 | |
Valissa Milanovich, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912 |