| Juniper Counseling Services Llc | |
|
4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 | |
| (218) 341-9208 | |
| (651) 882-6280 |
| Full Name | Juniper Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4141 Old Sibley Memorial Hwy, Eagan, Minnesota |
| Authorized Official Name and Position | Greta Smylie (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7632501320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Counseling Services Llc 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (218) 341-9208 | Juniper Counseling Services Llc 4141 Old Sibley Memorial Hwy Eagan MN 55122-1996 Ph: (218) 341-9208 |
| NPI Number | 1891551404 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 9133666159 |
|---|---|
| Medicare Enrollment ID | O20240807003309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891551404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Greta Smylie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669873378 PECOS PAC ID: 0042757064 Enrollment ID: I20240807003409 |
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