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NPI Code Detail

MEDICARE: ORCHID WAY COUNSELING

MEDICARE: ORCHID WAY COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor95MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700202611
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORCHID WAY COUNSELING
Provider Business Mailing Address
First Line : 5874 BLACKSHIRE PATH
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-1621
Country : US
Telephone Number : 651-689-3105
Fax Number :
Provider Business Practice Location Address
First Line : 5874 BLACKSHIRE PATH
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55076-1621
Country : US
Telephone Number : 651-689-3105
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : JENNIFER WIENER
Credential : LPCC
Telephone Number : 651-689-3105
Provider Enumeration Date : 03/16/2014
Last Update Date : 06/19/2014

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Directions to “ORCHID WAY COUNSELING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.