| Transformation House Inc | |
|
1410 S Ferry Rd Anoka MN 55303-2164 | |
| (763) 427-7155 | |
| (763) 427-6084 |
| Full Name | Transformation House Inc |
|---|---|
| Speciality | Counselor |
| Location | 1410 S Ferry Rd, Anoka, Minnesota |
| Authorized Official Name and Position | Cristian Chiesa (CEO) |
| Authorized Official Contact | 7634527011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation House Inc 1410 S Ferry Rd Anoka MN 55303-2164 Ph: (763) 427-7155 | Transformation House Inc 1410 S Ferry Rd Anoka MN 55303-2164 Ph: (763) 427-7155 |
| NPI Number | 1417768771 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 1850750696 |
|---|---|
| Medicare Enrollment ID | O20230711002876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417768771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Patrick W Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308313 PECOS PAC ID: 2961798996 Enrollment ID: I20190508002361 |
| Provider Name | Azie Judith Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265012629 PECOS PAC ID: 1557769858 Enrollment ID: I20211015002568 |
| Provider Name | Christina Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803691 PECOS PAC ID: 0345634523 Enrollment ID: I20220304000411 |
| Provider Name | Christina Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803691 PECOS PAC ID: 0345634523 Enrollment ID: I20221122002793 |
| Provider Name | Joy Hanna Cloutier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124882519 PECOS PAC ID: 0547607244 Enrollment ID: I20240318000528 |
| Provider Name | Jennifer Krebsbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790494102 PECOS PAC ID: 3274075023 Enrollment ID: I20240607000837 |
| Provider Name | Nicole Pauline Salami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487438321 PECOS PAC ID: 1355874371 Enrollment ID: I20241030000712 |
| Provider Name | Elizabeth Ann Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598589947 PECOS PAC ID: 1850826132 Enrollment ID: I20241122003080 |
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