| Reverie Mental Health Pllc | |
|
3800 American Blvd W Ste 1500 Bloomington MN 55431-4429 | |
| (612) 405-0414 | |
| (571) 376-6561 |
| Full Name | Reverie Mental Health Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 3800 American Blvd W Ste 1500, Bloomington, Minnesota |
| Authorized Official Name and Position | Mackenzie Kampa (OWNER) |
| Authorized Official Contact | 7144881401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverie Mental Health Pllc 3800 American Blvd W Ste 1500 Bloomington MN 55431-4429 Ph: () - | Reverie Mental Health Pllc 3800 American Blvd W Ste 1500 Bloomington MN 55431-4429 Ph: (612) 405-0414 |
| NPI Number | 1063134567 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063134567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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