| Metanoia Therapy, Pllc | |
|
1044 Centerville Cir Vadnais Heights MN 55127-6346 | |
| (612) 467-9212 | |
| Not Available |
| Full Name | Metanoia Therapy, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1044 Centerville Cir, Vadnais Heights, Minnesota |
| Authorized Official Name and Position | Natia Wilcek (OWNER / THERAPIST) |
| Authorized Official Contact | 6124679212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metanoia Therapy, Pllc 1044 Centerville Cir Vadnais Heights MN 55127-6346 Ph: () - | Metanoia Therapy, Pllc 1044 Centerville Cir Vadnais Heights MN 55127-6346 Ph: (612) 467-9212 |
| NPI Number | 1063050615 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 7214395102 |
|---|---|
| Medicare Enrollment ID | O20230626001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063050615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy Marie Nord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336673359 PECOS PAC ID: 5395170641 Enrollment ID: I20200115001892 |
| Provider Name | Elizabeth M Crubaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700548336 PECOS PAC ID: 2264822931 Enrollment ID: I20211213000831 |
| Provider Name | Natia Wilcek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982162707 PECOS PAC ID: 9739568981 Enrollment ID: I20230626001182 |
| Provider Name | Melissa Kathleen Pascoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417528126 PECOS PAC ID: 2365891728 Enrollment ID: I20231211000788 |
Parker Collins Family Mental Health, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1056 Centerville Cir, Vadnais Heights, MN 55127 Phone: 651-604-7771 | |
The Remedy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3640 Talmage Cir Ste 216, Vadnais Heights, MN 55110 Phone: 952-431-5330 Fax: 952-431-5334 |