| Lifequest Therapeutic Services | |
|
2233 Hamline Ave N #609 Roseville MN 55113-5009 | |
| (651) 263-0004 | |
| Not Available |
| Full Name | Lifequest Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 2233 Hamline Ave N, Roseville, Minnesota |
| Authorized Official Name and Position | Bekah Saliterman (OWNER) |
| Authorized Official Contact | 6512630004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifequest Therapeutic Services 2233 Hamline Ave N #609 Roseville MN 55113-5009 Ph: (651) 263-0004 | Lifequest Therapeutic Services 2233 Hamline Ave N #609 Roseville MN 55113-5009 Ph: (651) 263-0004 |
| NPI Number | 1700061272 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Medicare PECOS PAC ID | 2365589520 |
|---|---|
| Medicare Enrollment ID | O20091021000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700061272 | NPI | - | NPPES |
| 136419 | Other | MN | U-CARE |
| HP53204 | Other | MN | HEALTHPARTNERS |
| 431G2LI | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15886 (Minnesota) | Primary |
| Provider Name | Bekah J Saliterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760445076 PECOS PAC ID: 3678670825 Enrollment ID: I20070522000725 |
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