| Anchor Wave Therapy | |
|
7831 E Bush Lake Rd Ste 200d Minneapolis MN 55439-3164 | |
| (612) 662-7407 | |
| (612) 500-4918 |
| Full Name | Anchor Wave Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 7831 E Bush Lake Rd Ste 200d, Minneapolis, Minnesota |
| Authorized Official Name and Position | Carolyn Berger (OWNER, THERAPIST) |
| Authorized Official Contact | 5617798179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Wave Therapy 5800 Dale Ave Edina MN 55436-2473 Ph: (561) 779-8179 | Anchor Wave Therapy 7831 E Bush Lake Rd Ste 200d Minneapolis MN 55439-3164 Ph: (612) 662-7407 |
| NPI Number | 1386405546 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 1153832423 |
|---|---|
| Medicare Enrollment ID | O20250613002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386405546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carolyn A Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225635899 PECOS PAC ID: 2062923337 Enrollment ID: I20250613002145 |
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