| Amp Group, LLC | |
|
324 W Superior St Ste 620 Duluth MN 55802-1723 | |
| (218) 606-1797 | |
| (651) 952-0039 |
| Full Name | Amp Group, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 324 W Superior St Ste 620, Duluth, Minnesota |
| Authorized Official Name and Position | Angelic Koski (PRESIDENT) |
| Authorized Official Contact | 2185912648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amp Group, LLC 324 W Superior St Ste 620 Duluth MN 55802-1723 Ph: (218) 606-1797 | Amp Group, LLC 324 W Superior St Ste 620 Duluth MN 55802-1723 Ph: (218) 606-1797 |
| NPI Number | 1134664311 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134664311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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