| Koski Stark Ghodge Llc | |
|
8014 Highway 55 # 515 Golden Valley MN 55427-4712 | |
| (763) 200-1185 | |
| (763) 374-3201 |
| Full Name | Koski Stark Ghodge Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8014 Highway 55 # 515, Golden Valley, Minnesota |
| Authorized Official Name and Position | Paresh S Ghodge (OWNER) |
| Authorized Official Contact | 2054137893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koski Stark Ghodge Llc 8014 Highway 55 # 515 Golden Valley MN 55427-4712 Ph: (763) 200-1185 | Koski Stark Ghodge Llc 8014 Highway 55 # 515 Golden Valley MN 55427-4712 Ph: (763) 200-1185 |
| NPI Number | 1134640477 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134640477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22922 (Minnesota) | Primary |
Christian Recovery Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8441 Wayzata Blvd. Ste 160, Golden Valley, MN 55426 Phone: 763-566-0088 Fax: 763-566-0089 | |
Franklin Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Boone Avenue North, Golden Valley, MN 55427 Phone: 952-737-6900 Fax: 952-737-6900 | |
Inova Care Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 | |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Nexus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Lilac Dr N Ste 260, Golden Valley, MN 55422 Phone: 763-496-1516 Fax: 763-496-1554 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |