| Maat Wellness Pllc | |
|
8120 Penn Ave S Ste 100d Bloomington MN 55431-3114 | |
| (704) 968-5471 | |
| Not Available |
| Full Name | Maat Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8120 Penn Ave S Ste 100d, Bloomington, Minnesota |
| Authorized Official Name and Position | Luredia Cooper (OWNER) |
| Authorized Official Contact | 7049685471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maat Wellness Pllc 8120 Penn Ave S Ste 100d Bloomington MN 55431-3114 Ph: (704) 968-5471 | Maat Wellness Pllc 8120 Penn Ave S Ste 100d Bloomington MN 55431-3114 Ph: (704) 968-5471 |
| NPI Number | 1124854815 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 9335671759 |
|---|---|
| Medicare Enrollment ID | O20250108003700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124854815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Luredia Cooper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831949700 PECOS PAC ID: 4880126200 Enrollment ID: I20250108003748 |
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