| Open Connections Counseling | |
|
3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 | |
| (612) 208-8692 | |
| Not Available |
| Full Name | Open Connections Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3754 Pleasant Ave Ste 205, Minneapolis, Minnesota |
| Authorized Official Name and Position | David Mainguy (OWNER) |
| Authorized Official Contact | 6122088692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Connections Counseling 3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 Ph: (612) 208-8692 | Open Connections Counseling 3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 Ph: (612) 208-8692 |
| NPI Number | 1609604560 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 3375079577 |
|---|---|
| Medicare Enrollment ID | O20241211003103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609604560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David G Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376598953 PECOS PAC ID: 7113162314 Enrollment ID: I20130318000010 |
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