| New Concept Counseling L.l.c | |
|
6043 Hudson Rd Ste 399j Woodbury MN 55125-1028 | |
| (612) 599-6396 | |
| (165) 156-0794 |
| Full Name | New Concept Counseling L.l.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 6043 Hudson Rd Ste 399j, Woodbury, Minnesota |
| Authorized Official Name and Position | Christopher Adesoji Falade (OWNER/THERAPIST) |
| Authorized Official Contact | 6125996396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Concept Counseling L.l.c 1240 Donegal Dr Woodbury MN 55125-2390 Ph: (612) 599-6396 | New Concept Counseling L.l.c 6043 Hudson Rd Ste 399j Woodbury MN 55125-1028 Ph: (612) 599-6396 |
| NPI Number | 1942756309 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 10/07/2016 |
| Medicare PECOS PAC ID | 9335685304 |
|---|---|
| Medicare Enrollment ID | O20240725004380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942756309 | NPI | - | NPPES |
| 1932490224 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2836 (Minnesota) | Primary |
| Provider Name | Christopher A Falade |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932490224 PECOS PAC ID: 1951847920 Enrollment ID: I20240725004524 |
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