| Hartley Counseling Services, Llc | |
|
6607 18th Ave S 101 Richfield MN 55423-2784 | |
| (612) 554-3740 | |
| (651) 344-4406 |
| Full Name | Hartley Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6607 18th Ave S, Richfield, Minnesota |
| Authorized Official Name and Position | Keeva Hartley (OWNER) |
| Authorized Official Contact | 6125543740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartley Counseling Services, Llc 6607 18th Ave S 101 Richfield MN 55423-2784 Ph: (612) 554-3740 | Hartley Counseling Services, Llc 6607 18th Ave S 101 Richfield MN 55423-2784 Ph: (612) 554-3740 |
| NPI Number | 1013449073 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 6406196401 |
|---|---|
| Medicare Enrollment ID | O20190328001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013449073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15674 (Minnesota) | Primary |
| Provider Name | Keeva N Hartley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932181658 PECOS PAC ID: 3577666965 Enrollment ID: I20070305000418 |
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