| Virta Therapy Collective Llc | |
|
209 Snelling Ave N Saint Paul MN 55104-6326 | |
| (507) 850-0377 | |
| Not Available |
| Full Name | Virta Therapy Collective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 209 Snelling Ave N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Caitlin Tharaldson (OWNER/THERAPIST) |
| Authorized Official Contact | 6514421685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virta Therapy Collective Llc 209 Snelling Ave N Saint Paul MN 55104-6326 Ph: () - | Virta Therapy Collective Llc 209 Snelling Ave N Saint Paul MN 55104-6326 Ph: (507) 850-0377 |
| NPI Number | 1477307890 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 7618418260 |
|---|---|
| Medicare Enrollment ID | O20240923001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477307890 | NPI | - | NPPES |
| Provider Name | Susan Elizabeth Rau Fritts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922200419 PECOS PAC ID: 9931521234 Enrollment ID: I20200615001532 |
| Provider Name | Megan Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275034605 PECOS PAC ID: 4385906585 Enrollment ID: I20231018003254 |
| Provider Name | Caitlin Rose Tharaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275988305 PECOS PAC ID: 5597103366 Enrollment ID: I20240329002359 |
| Provider Name | Grace Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093359812 PECOS PAC ID: 4688012347 Enrollment ID: I20240401002944 |
| Provider Name | Meagan Lefebvre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902426331 PECOS PAC ID: 2567811359 Enrollment ID: I20240521001676 |
| Provider Name | Adam D Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730984766 PECOS PAC ID: 7416479324 Enrollment ID: I20250320001549 |
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