| Soaring Eagles Therapy LLC | |
|
1148 Shoreview Rd Two Harbors MN 55616-5011 | |
| (218) 595-0017 | |
| Not Available |
| Full Name | Soaring Eagles Therapy LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1148 Shoreview Rd, Two Harbors, Minnesota |
| Authorized Official Name and Position | Alexis Nicole Jacobson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2182207845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring Eagles Therapy LLC 1148 Shoreview Rd Two Harbors MN 55616-5011 Ph: (218) 595-0017 | Soaring Eagles Therapy LLC 1148 Shoreview Rd Two Harbors MN 55616-5011 Ph: (218) 595-0017 |
| NPI Number | 1538080320 |
|---|---|
| Provider Enumeration Date | 07/24/2026 |
| Last Update Date | 07/24/2026 |
| Certification Date | 07/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538080320 | NPI | - | NPPES |
| 1083372106 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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