| Nova North Therapy Llc | |
|
821 Meander Ct Medina MN 55340-4549 | |
| (952) 334-4457 | |
| Not Available |
| Full Name | Nova North Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 821 Meander Ct, Medina, Minnesota |
| Authorized Official Name and Position | Chelsey Jernberg Peschges (OWNER) |
| Authorized Official Contact | 9523344457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova North Therapy Llc 2811 113th Ave Nw Coon Rapids MN 55433-3402 Ph: (952) 334-4457 | Nova North Therapy Llc 821 Meander Ct Medina MN 55340-4549 Ph: (952) 334-4457 |
| NPI Number | 1558177337 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558177337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |