Sociability, Pllc | |
13911 Ridgedale Dr Ste 340 Minnetonka MN 55305-1775 | |
(612) 380-3430 | |
Not Available |
Full Name | Sociability, Pllc |
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Speciality | Clinic/Center |
Location | 13911 Ridgedale Dr Ste 340, Minnetonka, Minnesota |
Authorized Official Name and Position | Alexandra Lloyd Conroy (OWNER AND DIRECTOR) |
Authorized Official Contact | 6514944496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sociability, Pllc 13911 Ridgedale Dr Ste 340 Minnetonka MN 55305-1775 Ph: (612) 380-3430 | Sociability, Pllc 13911 Ridgedale Dr Ste 340 Minnetonka MN 55305-1775 Ph: (612) 380-3430 |
NPI Number | 1265002299 |
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Provider Enumeration Date | 06/30/2021 |
Last Update Date | 07/11/2022 |
Certification Date | 07/11/2022 |
Medicare PECOS PAC ID | 6204293582 |
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Medicare Enrollment ID | O20230531003122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265002299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Alexandra Lloyd Conroy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790386456 PECOS PAC ID: 3375900657 Enrollment ID: I20230531003266 |
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