| Integrative Health, Llc | |
|
988 Inwood Ave N Oakdale MN 55128-6625 | |
| (651) 263-4438 | |
| Not Available |
| Full Name | Integrative Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 988 Inwood Ave N, Oakdale, Minnesota |
| Authorized Official Name and Position | Calsey E Fasching (PARTNER) |
| Authorized Official Contact | 6512634388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health, Llc 7 Yellow Birch Rd Dellwood MN 55110-1413 Ph: (651) 263-4438 | Integrative Health, Llc 988 Inwood Ave N Oakdale MN 55128-6625 Ph: (651) 263-4438 |
| NPI Number | 1396314654 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/28/2021 |
| Medicare PECOS PAC ID | 5698164895 |
|---|---|
| Medicare Enrollment ID | O20211109002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396314654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Randall L Morris Ostrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174891618 PECOS PAC ID: 4385901347 Enrollment ID: I20171129001015 |
| Provider Name | Calsey E Fasching |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194232975 PECOS PAC ID: 5496015067 Enrollment ID: I20190111001330 |
| Provider Name | Cynthia L Knoell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114216124 PECOS PAC ID: 3476911827 Enrollment ID: I20230616003035 |
| Provider Name | Roseline Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681818 PECOS PAC ID: 0244694248 Enrollment ID: I20230908002914 |
| Provider Name | Violet Marie Wurtzberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396319679 PECOS PAC ID: 8729438064 Enrollment ID: I20231228001147 |
| Provider Name | Aaron B Leet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174816326 PECOS PAC ID: 1951790153 Enrollment ID: I20240212000579 |
| Provider Name | John L Newman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750949277 PECOS PAC ID: 9032553912 Enrollment ID: I20240219003468 |
| Provider Name | Jessee A Daley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245713825 PECOS PAC ID: 6204271885 Enrollment ID: I20240305003570 |
| Provider Name | Brittani Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487971016 PECOS PAC ID: 1355788795 Enrollment ID: I20240321001839 |
| Provider Name | Brittanie Omodt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356930960 PECOS PAC ID: 0345689139 Enrollment ID: I20240412001054 |
| Provider Name | Sara J Bowd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154857464 PECOS PAC ID: 9638518178 Enrollment ID: I20240417002460 |
| Provider Name | Jared B Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306397591 PECOS PAC ID: 3971041781 Enrollment ID: I20240812002168 |
| Provider Name | Caileigh E Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851085641 PECOS PAC ID: 4082076039 Enrollment ID: I20241125002547 |
| Provider Name | Christina G Copeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437498896 PECOS PAC ID: 3971039850 Enrollment ID: I20241216002776 |
| Provider Name | Alisha D Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891501912 PECOS PAC ID: 0547790719 Enrollment ID: I20250204002077 |
Southdale Medical Partners Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Inwood Ave N Ste 902, Oakdale, MN 55128 Phone: 952-999-4049 | |
Keycare Minnesota Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6454 26th St N, Oakdale, MN 55128 Phone: 651-348-9073 | |
Chateau Home Services Limited Liability Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6454 26th St N, Oakdale, MN 55128 Phone: 651-348-9073 | |
Blossom Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Hayward Ave N, Oakdale, MN 55128 Phone: 651-410-7955 | |
Allina Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 33rd St N Ste 100, Oakdale, MN 55128 Phone: 651-241-9240 | |
Endoura Effect, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 Helmo Ave N Ste 230, Oakdale, MN 55128 Phone: 651-243-0625 Fax: 855-462-3105 |