| Create Space Meditate, Llc | |
|
265 Long Lake Ct Shoreview MN 55126-4803 | |
| (651) 338-9707 | |
| Not Available |
| Full Name | Create Space Meditate, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 265 Long Lake Ct, Shoreview, Minnesota |
| Authorized Official Name and Position | Michelle Swerin (FOUNDER / THERAPIST) |
| Authorized Official Contact | 6513389707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Space Meditate, Llc 265 Long Lake Ct Shoreview MN 55126-4803 Ph: (651) 338-9707 | Create Space Meditate, Llc 265 Long Lake Ct Shoreview MN 55126-4803 Ph: (651) 338-9707 |
| NPI Number | 1477277671 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 11/29/2023 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477277671 | NPI | - | NPPES |
| NPI1437786761 | Other | CLINICAL THERAPISTMSWERIN | |
| NPI1760771810 | Other | MTM PHARMACISTMAMARO | |
| LPCC888MS | Other | MN | CLINICAL THERAPISTMSWERIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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