| Hope Rising | |
|
21307 John Milless Dr Suite 106 Rogers MN 55374-4708 | |
| (612) 406-4083 | |
| Not Available |
| Full Name | Hope Rising |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 21307 John Milless Dr, Rogers, Minnesota |
| Authorized Official Name and Position | Samantha Colai (OWNER) |
| Authorized Official Contact | 6124064083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Rising 3458 Sheridan Ave N Minneapolis MN 55412-2246 Ph: (513) 283-4236 | Hope Rising 21307 John Milless Dr Suite 106 Rogers MN 55374-4708 Ph: (612) 406-4083 |
| NPI Number | 1295292753 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 1658805627 |
|---|---|
| Medicare Enrollment ID | O20241113002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295292753 | NPI | - | NPPES |
| 1295292753 | Other | MN | NPI II |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Samantha Colai |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255722328 PECOS PAC ID: 2567996531 Enrollment ID: I20241113002311 |
| Provider Name | Jennifer Kathryn Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144702622 PECOS PAC ID: 3870027840 Enrollment ID: I20241113002569 |
| Provider Name | Allison Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639586639 PECOS PAC ID: 6406381268 Enrollment ID: I20241203001790 |
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