| Skeleton Key Counseling Llc | |
|
8468 Lake Jane Trl N Lake Elmo MN 55042-9206 | |
| (763) 327-1118 | |
| Not Available |
| Full Name | Skeleton Key Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 8468 Lake Jane Trl N, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Eric Stefan Schuck (OWNER) |
| Authorized Official Contact | 7633271118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skeleton Key Counseling Llc 8468 Lake Jane Trl N Lake Elmo MN 55042-9206 Ph: () - | Skeleton Key Counseling Llc 8468 Lake Jane Trl N Lake Elmo MN 55042-9206 Ph: (763) 327-1118 |
| NPI Number | 1831879238 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 9537607304 |
|---|---|
| Medicare Enrollment ID | O20240813000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831879238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily Ann Groteboer-distad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942855408 PECOS PAC ID: 8921444258 Enrollment ID: I20240308003472 |
| Provider Name | Eric Stefan Schuck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659070258 PECOS PAC ID: 0446798219 Enrollment ID: I20240813000629 |
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