| Lilium Center | |
|
7101 York Ave S Suite 317 Edina MN 55435 | |
| (952) 921-3266 | |
| (651) 224-3765 |
| Full Name | Lilium Center |
|---|---|
| Speciality | Psychologist |
| Location | 7101 York Ave S Suite 317, Edina, Minnesota |
| Authorized Official Name and Position | Stacia Hanson (CEO, OWNER) |
| Authorized Official Contact | 9529213266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilium Center 7101 York Ave S Suite 317 Edina MN 55435 Ph: (952) 921-3266 | Lilium Center 7101 York Ave S Suite 317 Edina MN 55435 Ph: (952) 921-3266 |
| NPI Number | 1871867549 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 2769828706 |
|---|---|
| Medicare Enrollment ID | O20240312003412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871867549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Stacia R Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033347505 PECOS PAC ID: 3678919610 Enrollment ID: I20240312003498 |
Laski Mental Wellness & Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7101 York Ave S Ste 145, Edina, MN 55435 Phone: 612-202-0535 Fax: 763-999-6107 | |
Evolving Woman Enterprises, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Metro Blvd, Suite 455, Edina, MN 55439 Phone: 952-835-1616 Fax: 952-835-6182 | |
Angela Brust, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5200 Willson Rd Ste 307, Edina, MN 55424 Phone: 612-987-8070 | |
Mooney Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 224, Edina, MN 55435 Phone: 952-831-0422 Fax: 952-831-0443 | |
Thrive Modern Health P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 York Ave S Ste 157, Edina, MN 55435 Phone: 612-254-6414 | |
Heartland Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6950 France Ave S Ste 14, Edina, MN 55435 Phone: 952-922-9056 | |
Johnson Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S Ste 224, Edina, MN 55435 Phone: 612-205-7989 |