| Grander Living Llc | |
|
7924 Victoria Dr Ste 201c Victoria MN 55386-2801 | |
| (952) 220-9283 | |
| Not Available |
| Full Name | Grander Living Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7924 Victoria Dr Ste 201c, Victoria, Minnesota |
| Authorized Official Name and Position | Renee E Carlson (OWNER, MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9522209283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grander Living Llc Po Box 2 7924 Victoria Drive Ste. 201c Victoria MN 55386 Ph: (952) 220-9283 | Grander Living Llc 7924 Victoria Dr Ste 201c Victoria MN 55386-2801 Ph: (952) 220-9283 |
| NPI Number | 1023511714 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 03/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023511714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Lorenz Clinic, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1772 Steiger Lake Ln, Suite 220, Victoria, MN 55386 Phone: 952-443-4600 Fax: 952-443-4604 |