| Voos Behavioral Health Services | |
|
2353 Rlce Street Suite 108 Little Canada MN 55113 | |
| (651) 340-5216 | |
| Not Available |
| Full Name | Voos Behavioral Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 2353 Rlce Street, Little Canada, Minnesota |
| Authorized Official Name and Position | Xulivong Moua (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6513405216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Voos Behavioral Health Services 2353 Rlce Street Suite 108 Little Canada MN 55113 Ph: (651) 340-5216 | Voos Behavioral Health Services 2353 Rlce Street Suite 108 Little Canada MN 55113 Ph: (651) 340-5216 |
| NPI Number | 1265974844 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 2264784115 |
|---|---|
| Medicare Enrollment ID | O20181004001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265974844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CC00494 (Minnesota) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Richard D Kofsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255496527 PECOS PAC ID: 8123009198 Enrollment ID: I20040526000394 |
| Provider Name | Xulivong Moua |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275888034 PECOS PAC ID: 5991057846 Enrollment ID: I20241219002827 |
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