| Bodhi Education Services, Llc | |
|
5433 Jefferson Ct White Bear Township MN 55110-5770 | |
| (706) 834-0139 | |
| Not Available |
| Full Name | Bodhi Education Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5433 Jefferson Ct, White Bear Township, Minnesota |
| Authorized Official Name and Position | Samantha Hulstein (OWNER) |
| Authorized Official Contact | 7068340139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Education Services, Llc 5433 Jefferson Ct White Bear Township MN 55110-5770 Ph: (706) 834-0139 | Bodhi Education Services, Llc 5433 Jefferson Ct White Bear Township MN 55110-5770 Ph: (706) 834-0139 |
| NPI Number | 1518602176 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518602176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |