| Rochester Therapy Center | |
|
1530 Greenview Dr Sw Ste 113 Rochester MN 55902-1080 | |
| (507) 273-3768 | |
| Not Available |
| Full Name | Rochester Therapy Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1530 Greenview Dr Sw Ste 113, Rochester, Minnesota |
| Authorized Official Name and Position | Dana L Phenix (PSYCHOTHERAPIST AND NEUROTHERAPIST) |
| Authorized Official Contact | 5072733768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Therapy Center 74823 260th Ave Hayfield MN 55940-8403 Ph: (507) 273-3768 | Rochester Therapy Center 1530 Greenview Dr Sw Ste 113 Rochester MN 55902-1080 Ph: (507) 273-3768 |
| NPI Number | 1205449303 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 4183077183 |
|---|---|
| Medicare Enrollment ID | O20240125003597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205449303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Dana L Phenix |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336689496 PECOS PAC ID: 5092168096 Enrollment ID: I20240125003678 |
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