| Water's Edge Psychotherapy, Llc | |
|
750 Main St Ste 100 Mendota Heights MN 55118-3765 | |
| (612) 293-0768 | |
| Not Available |
| Full Name | Water's Edge Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 750 Main St Ste 100, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Katrin Christensen-cowan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6122930768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Water's Edge Psychotherapy, Llc 675 Cheyenne Ln Mendota Heights MN 55120-1687 Ph: (612) 293-0768 | Water's Edge Psychotherapy, Llc 750 Main St Ste 100 Mendota Heights MN 55118-3765 Ph: (612) 293-0768 |
| NPI Number | 1386953974 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Medicare PECOS PAC ID | 3173908373 |
|---|---|
| Medicare Enrollment ID | O20220922003837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386953974 | NPI | - | NPPES |
| Provider Name | Katrin Marie Christensen-cowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457652380 PECOS PAC ID: 4082099288 Enrollment ID: I20220922003864 |
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