Individual
LYDIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, LADC
Contact information
Practice address
PO BOX 73, ROCKFORD, MN 55373-0073
(612) 208-9629
Mailing address
4404 NICOLLET AVE APT 1, MINNEAPOLIS, MN 55419-2642
(612) 208-9629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306922
MN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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