| Lemon Tree Therapies, Llc | |
|
1173 Burr St Saint Paul MN 55130-3633 | |
| (507) 828-3212 | |
| Not Available |
| Full Name | Lemon Tree Therapies, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1173 Burr St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Heath Ohde (CONTROLLER) |
| Authorized Official Contact | 3192901356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemon Tree Therapies, Llc 1173 Burr St Saint Paul MN 55130-3633 Ph: () - | Lemon Tree Therapies, Llc 1173 Burr St Saint Paul MN 55130-3633 Ph: (507) 828-3212 |
| NPI Number | 1053071050 |
|---|---|
| Provider Enumeration Date | 12/19/2021 |
| Last Update Date | 12/19/2021 |
| Certification Date | 12/19/2021 |
| Medicare PECOS PAC ID | 7113462003 |
|---|---|
| Medicare Enrollment ID | O20240716001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tyler Reedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780344788 PECOS PAC ID: 4486199379 Enrollment ID: I20240815000148 |
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