Corral, Macarena Mayerle
Corral, Macarena Mayerle is an individual health care provider with primary practice located at 6425 Nicollet Ave , Richfield MN 55423-1675. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Corral, Macarena Mayerle can be contacted via phone (612) 798-8168.Contact Information
Primary practice address
6425 Nicollet Ave
Richfield MN 55423-1675
Phone: (612) 798-8168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 5396 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5396 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 5396 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 5396 | Minnesota |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 5396 | Minnesota |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 5396 | Minnesota |
Profile Details
| NPI number | 1538443452 |
|---|---|
| LBN Legal business name | Corral, Macarena Mayerle |
| Credentials | PSYD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2011 |
| Last updated | Sep 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538443452 | NPPES |
| Minnesota | Other | 1750552196 | BCBS |
| Minnesota | MEDICAID | 87055600 | BCBS |
| Minnesota | Other | C01290 | BCBS |
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