| Know Thyself, Pllc | |
|
10505 Wayzata Blvd Ste 203-3 Minnetonka MN 55305-1502 | |
| (763) 242-3261 | |
| (866) 318-3073 |
| Full Name | Know Thyself, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10505 Wayzata Blvd Ste 203-3, Minnetonka, Minnesota |
| Authorized Official Name and Position | Melissa Raatz (PRESIDENT) |
| Authorized Official Contact | 7632423261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Know Thyself, Pllc 417 Rucks Farm Rd Delano MN 55328-8837 Ph: (763) 242-3261 | Know Thyself, Pllc 10505 Wayzata Blvd Ste 203-3 Minnetonka MN 55305-1502 Ph: (763) 242-3261 |
| NPI Number | 1316643554 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 9436514817 |
|---|---|
| Medicare Enrollment ID | O20230509000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316643554 | NPI | - | NPPES |
| 1710295001 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Anne Raatz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942778022 PECOS PAC ID: 4284050105 Enrollment ID: I20210223003240 |
| Provider Name | Rebecca Tveten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831709468 PECOS PAC ID: 2567818016 Enrollment ID: I20231102001442 |
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