| Aria Counseling Assessment And Mediation Centers Pllc | |
|
7260 University Ave Ne Ste 235 Fridley MN 55432-3141 | |
| (763) 572-2605 | |
| Not Available |
| Full Name | Aria Counseling Assessment And Mediation Centers Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7260 University Ave Ne Ste 235, Fridley, Minnesota |
| Authorized Official Name and Position | Richard Allen Mclellan (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7635722605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aria Counseling Assessment And Mediation Centers Pllc 7260 University Ave Ne Ste 235 Fridley MN 55432-3141 Ph: (763) 572-2605 | Aria Counseling Assessment And Mediation Centers Pllc 7260 University Ave Ne Ste 235 Fridley MN 55432-3141 Ph: (763) 572-2605 |
| NPI Number | 1649613837 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 0244460251 |
|---|---|
| Medicare Enrollment ID | O20140312001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649613837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0295 (Minnesota) | Primary |
| Provider Name | Richard Allen Mclellan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932408549 PECOS PAC ID: 2668602673 Enrollment ID: I20241226002526 |
| Provider Name | David Alan Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083205108 PECOS PAC ID: 0648700625 Enrollment ID: I20250205003302 |
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