| Skinner-drawz Psychotherapy L.l.c. | |
|
1001 Twelve Oaks Center Dr Ste 1002a Wayzata MN 55391-4301 | |
| (612) 232-6894 | |
| Not Available |
| Full Name | Skinner-drawz Psychotherapy L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1001 Twelve Oaks Center Dr Ste 1002a, Wayzata, Minnesota |
| Authorized Official Name and Position | Brooke Alison Skinner-drawz (OWNER) |
| Authorized Official Contact | 6122326894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skinner-drawz Psychotherapy L.l.c. 4848 Sparrow Rd Minnetonka MN 55345-3219 Ph: (612) 232-6894 | Skinner-drawz Psychotherapy L.l.c. 1001 Twelve Oaks Center Dr Ste 1002a Wayzata MN 55391-4301 Ph: (612) 232-6894 |
| NPI Number | 1760102131 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 4082086889 |
|---|---|
| Medicare Enrollment ID | O20230203001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760102131 | NPI | - | NPPES |
| 17638 | Other | MN | STATE OF MINNETOSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke A Skinner-drawz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477920056 PECOS PAC ID: 1557670353 Enrollment ID: I20151019000309 |
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