Organization
SHOREVIEW MENTAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE BALFE-GROH LP,PSYD (MANAGING MEMBER)
(651) 247-8128
Entity
Organization
Contact information
Practice address
5985 RICE CREEK PKWY STE 201, SHOREVIEW, MN 55126-5037
(651) 348-7240
(651) 348-7265
Mailing address
5985 RICE CREEK PKWY STE 201, SHOREVIEW, MN 55126-5037
(651) 247-8128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5097
MN
Other
Enumeration date
11/27/2015
Last updated
02/27/2018
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