Organization
MAPLE GROVE COUNSELING CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARDITH ANN MESSICCI MA LP (LICENSED PSYCHOLOGIST OWNER)
(763) 494-8699
Entity
Organization
Contact information
Practice address
13700 83RD WAY, STE 205, MAPLE GROVE, MN 55369-7015
(763) 494-8699
(763) 494-8797
Mailing address
13700 83RD WAY, STE 205, MAPLE GROVE, MN 55369-7015
(763) 494-8699
(763) 494-8797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0951
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3H755ME
BCBS
MN
01
—
88297
ARAZ
MN
Enumeration date
02/15/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us