| No More Brokenness Llc | |
|
29566 270th St Worthington MN 56187-6375 | |
| (605) 695-9948 | |
| Not Available |
| Full Name | No More Brokenness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 29566 270th St, Worthington, Minnesota |
| Authorized Official Name and Position | Sheila Marie Middagh (OWNER, FOUNDER) |
| Authorized Official Contact | 6056959948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| No More Brokenness Llc 29566 270th St Worthington MN 56187-6375 Ph: (605) 695-9948 | No More Brokenness Llc 29566 270th St Worthington MN 56187-6375 Ph: (605) 695-9948 |
| NPI Number | 1144955766 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2466828066 |
|---|---|
| Medicare Enrollment ID | O20221024001345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144955766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sheila Middagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164076741 PECOS PAC ID: 7618206756 Enrollment ID: I20190916000016 |
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