| Namaste Therapy And Wellness, Llc | |
|
12400 Portland Ave Ste 180 Burnsville MN 55337-6875 | |
| (651) 206-3451 | |
| Not Available |
| Full Name | Namaste Therapy And Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12400 Portland Ave Ste 180, Burnsville, Minnesota |
| Authorized Official Name and Position | Rachel Fate (OWNER) |
| Authorized Official Contact | 6512063451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Namaste Therapy And Wellness, Llc 11201 Oregon Ave N Champlin MN 55316-3358 Ph: (651) 206-3451 | Namaste Therapy And Wellness, Llc 12400 Portland Ave Ste 180 Burnsville MN 55337-6875 Ph: (651) 206-3451 |
| NPI Number | 1114749835 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Medicare PECOS PAC ID | 8527589324 |
|---|---|
| Medicare Enrollment ID | O20250310002355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114749835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel B Fate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912341553 PECOS PAC ID: 0547400913 Enrollment ID: I20130708000352 |
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