| Encompass Hope, Llc | |
|
3460 Washington Dr Ste 214 Eagan MN 55122-4304 | |
| (651) 412-5088 | |
| Not Available |
| Full Name | Encompass Hope, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3460 Washington Dr Ste 214, Eagan, Minnesota |
| Authorized Official Name and Position | Shannon Wohlman (CO-OWNER) |
| Authorized Official Contact | 6514125088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Hope, Llc 3460 Washington Dr Ste 214 Eagan MN 55122-4304 Ph: (651) 412-5088 | Encompass Hope, Llc 3460 Washington Dr Ste 214 Eagan MN 55122-4304 Ph: (651) 412-5088 |
| NPI Number | 1053937029 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 12/19/2021 |
| Certification Date | 12/19/2021 |
| Medicare PECOS PAC ID | 7214308667 |
|---|---|
| Medicare Enrollment ID | O20230120002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053937029 | NPI | - | NPPES |
| Provider Name | Jamie R Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340751 PECOS PAC ID: 7810259868 Enrollment ID: I20180403000486 |
| Provider Name | Mary-rose Granlund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154725117 PECOS PAC ID: 6406276336 Enrollment ID: I20201015000440 |
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