| A A Eneanya Pllc | |
|
1611 County Road B W Ste 214 Roseville MN 55113-4053 | |
| (651) 237-2391 | |
| Not Available |
| Full Name | A A Eneanya Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1611 County Road B W Ste 214, Roseville, Minnesota |
| Authorized Official Name and Position | Awele Eneanya (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6512372391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A A Eneanya Pllc 1611 County Road B W Ste 214 Roseville MN 55113-4053 Ph: (651) 237-2391 | A A Eneanya Pllc 1611 County Road B W Ste 214 Roseville MN 55113-4053 Ph: (651) 237-2391 |
| NPI Number | 1750218491 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Certification Date | 04/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750218491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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