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NPI Code Detail

MEDICARE: WOODNOTE THERAPY PLLC

MEDICARE: WOODNOTE THERAPY PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1093479057
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODNOTE THERAPY PLLC
Provider Business Mailing Address
First Line : 1913 S WASHINGTON ST STE C
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-6339
Country : US
Telephone Number : 701-757-1425
Fax Number : 701-299-0695
Provider Business Practice Location Address
First Line : 1913 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-6339
Country : US
Telephone Number : 701-317-6590
Fax Number :
Authorized Official
Title or Position : BILLING CONSULTANT
Name : ALEXANDER MAGELKY
Credential :
Telephone Number : 218-329-2705
Provider Enumeration Date : 10/26/2021
Last Update Date : 01/20/2022

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Directions to “WOODNOTE THERAPY PLLC ” Practice Location

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