Formella, Anna Elizabeth

Formella, Anna Elizabeth is an individual health care provider with primary practice located at 151 Saint Andrews Ct Ste 710 , Mankato MN 56001-8815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Formella, Anna Elizabeth can be contacted via phone (507) 386-7121.

Contact Information

Primary practice address
151 Saint Andrews Ct Ste 710 Mankato MN 56001-8815
Phone: (507) 386-7121
Fax: (507) 344-0690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4327 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 4327 Minnesota

Profile Details

NPI number 1902663875
LBN Legal business name Formella, Anna Elizabeth
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2024
Last updated Mar 11th, 2024 - about 2 years ago

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.

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