| Booshke Mental Health Inc. | |
|
522 Beltrami Ave Nw Ste 116 Bemidji MN 56601-3002 | |
| (218) 760-2222 | |
| (218) 444-7105 |
| Full Name | Booshke Mental Health Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 522 Beltrami Ave Nw Ste 116, Bemidji, Minnesota |
| Authorized Official Name and Position | Melissa Ann George-humphrey (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 2187602222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booshke Mental Health Inc. 2201 Shannon Ln Se Bemidji MN 56601-7328 Ph: (218) 760-2222 | Booshke Mental Health Inc. 522 Beltrami Ave Nw Ste 116 Bemidji MN 56601-3002 Ph: (218) 760-2222 |
| NPI Number | 1063464824 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063464824 | NPI | - | NPPES |
| 288620100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14486 (Minnesota) | Primary |
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