| Thomas Counseling And Wellness Center Llc | |
|
421 Ne 9th Ave Grand Rapids MN 55744-3130 | |
| (218) 360-5503 | |
| (218) 326-2100 |
| Full Name | Thomas Counseling And Wellness Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 421 Ne 9th Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Cindy Lee Thomas (OWNER) |
| Authorized Official Contact | 2183601580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Counseling And Wellness Center Llc 303 Golf Course Rd Grand Rapids MN 55744-3552 Ph: (218) 360-1580 | Thomas Counseling And Wellness Center Llc 421 Ne 9th Ave Grand Rapids MN 55744-3130 Ph: (218) 360-5503 |
| NPI Number | 1639539307 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 9436455144 |
|---|---|
| Medicare Enrollment ID | O20160307001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639539307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 16205 (Minnesota) | Primary |
| Provider Name | Cindy Lee Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295965812 PECOS PAC ID: 0749314672 Enrollment ID: I20100814000037 |
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