| Awe Therapy | |
|
4470 W 78th Street Cir Bloomington MN 55435-5408 | |
| (612) 208-6204 | |
| Not Available |
| Full Name | Awe Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4470 W 78th Street Cir, Bloomington, Minnesota |
| Authorized Official Name and Position | Ellie Whiteaker (PART OWNER) |
| Authorized Official Contact | 6123616504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awe Therapy 5844 Oaklawn Ave Edina MN 55424-1918 Ph: (319) 360-5768 | Awe Therapy 4470 W 78th Street Cir Bloomington MN 55435-5408 Ph: (612) 208-6204 |
| NPI Number | 1922836980 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922836980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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