| Speak Easy Llc | |
|
10 Nw 5th St Ste 203 Grand Rapids MN 55744-2660 | |
| (218) 245-5073 | |
| Not Available |
| Full Name | Speak Easy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Nw 5th St Ste 203, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Melissa Kay Reynolds Weidendorf (OWNER) |
| Authorized Official Contact | 2182455073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speak Easy Llc 10 Nw 5th St Ste 203 Grand Rapids MN 55744-2660 Ph: (218) 245-5073 | Speak Easy Llc 10 Nw 5th St Ste 203 Grand Rapids MN 55744-2660 Ph: (218) 245-5073 |
| NPI Number | 1881154953 |
|---|---|
| Provider Enumeration Date | 03/23/2019 |
| Last Update Date | 03/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881154953 | NPI | - | NPPES |
| 1619484862 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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