Eagan Counseling Clinic in Eagan - Clinical
Eagan Counseling Clinic - NPI 1144311184
Eagan Counseling Clinic is a Clinical in Eagan, Minnesota. Eagan Counseling Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eagan Counseling Clinic is 1144311184. The last update date is 2008-04-10.
Eagan Counseling Clinic's current location address is 3450 Oleary Ln, Eagan, Minnesota. You can contact this provider via phone number 6514540114 and fax number 6514543492. The mailing address for Eagan Counseling Clinic is 3450 Oleary Ln, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagan Counseling Clinic |
|---|---|
| Address | 3450 Oleary Ln, Eagan, Minnesota |
| Phone Number | 6514540114 |
| Fax Number | 6514543492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Dominic Peggy |
| Telephone Number | 6513658217 |
NPI Number Detail
| NPI Number | 1144311184 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2008-04-10 |
Provider Mailing Address Detail
| Address | 3450 Oleary Ln |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551232340 |
| Phone Number | 6514540114 |
| Fax Number | 6514543492 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 800689-2-MHC |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800084 | MN | PREFERRED ONE | |
| 59280EA | MN | BCBS | |
| 892 | MN | HEALTH PARTNERS | |
| 101973 | MN | UCARE | |
| 84-57408 | MN | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eagan Counseling Clinic by the Centers for Medicare & Medicaid Services?
The Eagan Counseling Clinic has been assigned the NPI (National Provider Identifier) 1144311184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Eagan Counseling Clinic's facilities are geographically located?
The facilities of Eagan Counseling Clinic are physically situated at the following location: 3450 Oleary Ln, Eagan, MN, 551232340.
What is Eagan Counseling Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eagan Counseling Clinic is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144311184 to Eagan Counseling Clinic?
The Eagan Counseling Clinic received its 1144311184 assignment from the Centers for Medicare & Medicaid Services on 2006-09-27.
When was the information pertaining to Eagan Counseling Clinic most recently updated or revised?
The details related to Eagan Counseling Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY