| Mccormack Behavioral Health | |
|
12775 Swallow St Nw Coon Rapids MN 55448-2587 | |
| (612) 280-9541 | |
| Not Available |
| Full Name | Mccormack Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12775 Swallow St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Carly Mccormack (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6122809541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccormack Behavioral Health Po Box 43 Anoka MN 55303-0043 Ph: (612) 280-9541 | Mccormack Behavioral Health 12775 Swallow St Nw Coon Rapids MN 55448-2587 Ph: (612) 280-9541 |
| NPI Number | 1255136255 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255136255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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