| Safe Place Safe Passages, Llc | |
|
49 Central St Ste 2 Circle Pines MN 55014-1761 | |
| (651) 491-3377 | |
| Not Available |
| Full Name | Safe Place Safe Passages, Llc |
|---|---|
| Speciality | Counselor |
| Location | 49 Central St Ste 2, Circle Pines, Minnesota |
| Authorized Official Name and Position | Beth Ann Schumacher (OWNER) |
| Authorized Official Contact | 6514913377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Place Safe Passages, Llc 100 Firebarn Rd Circle Pines MN 55014-1600 Ph: (651) 491-3377 | Safe Place Safe Passages, Llc 49 Central St Ste 2 Circle Pines MN 55014-1761 Ph: (651) 491-3377 |
| NPI Number | 1164915211 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 2365987997 |
|---|---|
| Medicare Enrollment ID | O20240708003473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164915211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Beth Ann Schumacher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578973376 PECOS PAC ID: 3274078803 Enrollment ID: I20240708003659 |
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