| Spirit Of Hope, Llc | |
|
326 Bluejay Avenue Chaska MN 55318-7418 | |
| (652) 546-5565 | |
| Not Available |
| Full Name | Spirit Of Hope, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 326 Bluejay Avenue, Chaska, Minnesota |
| Authorized Official Name and Position | Peg Roberts (PRESIDENT) |
| Authorized Official Contact | 9525465565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Of Hope, Llc 326 Bluejay Avenue Chaska MN 55318-7418 Ph: (652) 546-5565 | Spirit Of Hope, Llc 326 Bluejay Avenue Chaska MN 55318-7418 Ph: (652) 546-5565 |
| NPI Number | 1942469366 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 0143669895 |
|---|---|
| Medicare Enrollment ID | O20240415002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942469366 | NPI | - | NPPES |
| 360450100M | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1126 (Minnesota) | Primary |
| Provider Name | Margaret Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346380433 PECOS PAC ID: 1052750700 Enrollment ID: I20240415002903 |
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