| Open Hands Psychological And Consulting Services | |
|
4536 58th Ave N Apt 239 Brooklyn Center MN 55429-2994 | |
| (520) 987-3196 | |
| Not Available |
| Full Name | Open Hands Psychological And Consulting Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 4536 58th Ave N Apt 239, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Robin Maranda Hicks (THERAPIST) |
| Authorized Official Contact | 5209873196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Hands Psychological And Consulting Services 4536 58th Ave N Apt 239 Brooklyn Center MN 55429-2994 Ph: (520) 987-3196 | Open Hands Psychological And Consulting Services 4536 58th Ave N Apt 239 Brooklyn Center MN 55429-2994 Ph: (520) 987-3196 |
| NPI Number | 1124702071 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 5193268969 |
|---|---|
| Medicare Enrollment ID | O20240620004064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124702071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Robin Maranda Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639897796 PECOS PAC ID: 6002359874 Enrollment ID: I20240620004085 |
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