| Tru Chrysalis Pllc | |
|
275 4th St E Ste 807 Saint Paul MN 55101-1687 | |
| (612) 462-5121 | |
| Not Available |
| Full Name | Tru Chrysalis Pllc |
|---|---|
| Speciality | Counselor |
| Location | 275 4th St E Ste 807, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kau Macador Queeglay (PRESIDENT) |
| Authorized Official Contact | 6124625121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Chrysalis Pllc 275 4th St E Ste 807 Saint Paul MN 55101-1687 Ph: (612) 462-5121 | Tru Chrysalis Pllc 275 4th St E Ste 807 Saint Paul MN 55101-1687 Ph: (612) 462-5121 |
| NPI Number | 1336855634 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 0749716314 |
|---|---|
| Medicare Enrollment ID | O20241205002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336855634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Miriam Ingutia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164602363 PECOS PAC ID: 6406008713 Enrollment ID: I20121213000352 |
| Provider Name | Kau Macador Queeglay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417510165 PECOS PAC ID: 0143664573 Enrollment ID: I20240214000208 |
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