| Dandelion Spirit Psychotherapy, Llc | |
|
3459 Washington Dr Ste 102 Eagan MN 55122-1388 | |
| (651) 212-5127 | |
| Not Available |
| Full Name | Dandelion Spirit Psychotherapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3459 Washington Dr Ste 102, Eagan, Minnesota |
| Authorized Official Name and Position | Kai Y Gunty (OWNER) |
| Authorized Official Contact | 6512125127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandelion Spirit Psychotherapy, Llc 3459 Washington Dr Ste 102 Eagan MN 55122-1388 Ph: (651) 212-5127 | Dandelion Spirit Psychotherapy, Llc 3459 Washington Dr Ste 102 Eagan MN 55122-1388 Ph: (651) 212-5127 |
| NPI Number | 1497478838 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 3678094638 |
|---|---|
| Medicare Enrollment ID | O20250306000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497478838 | NPI | - | NPPES |
| Provider Name | Kristina L Robinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871038398 PECOS PAC ID: 6800179169 Enrollment ID: I20170210001080 |
| Provider Name | Sarah J Halls |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972004091 PECOS PAC ID: 2769727361 Enrollment ID: I20190102000599 |
| Provider Name | Anna Lisa Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033763909 PECOS PAC ID: 9537690599 Enrollment ID: I20241001002047 |
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