| Echo Integrated Health Llc | |
|
1523 W Lake St Ste A Minneapolis MN 55408-2184 | |
| (612) 735-0997 | |
| (617) 362-2618 |
| Full Name | Echo Integrated Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1523 W Lake St Ste A, Minneapolis, Minnesota |
| Authorized Official Name and Position | Genevieve Eliza Curtis Utley (OWNER) |
| Authorized Official Contact | 6127350997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Integrated Health Llc 1523 W Lake St Ste A Minneapolis MN 55408-2184 Ph: (612) 735-0997 | Echo Integrated Health Llc 1523 W Lake St Ste A Minneapolis MN 55408-2184 Ph: (612) 735-0997 |
| NPI Number | 1407438898 |
|---|---|
| Provider Enumeration Date | 04/25/2021 |
| Last Update Date | 07/18/2026 |
| Certification Date | 07/18/2026 |
| Medicare PECOS PAC ID | 6709283807 |
|---|---|
| Medicare Enrollment ID | O20210915003535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407438898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Genevieve Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386200228 PECOS PAC ID: 4880920065 Enrollment ID: I20190725001694 |
| Provider Name | Roseline Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681818 PECOS PAC ID: 0244694248 Enrollment ID: I20230908002914 |
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