Mooney, Rene Helen
Mooney, Rene Helen is an sole proprietor health care provider with primary practice located at 313 Riverside Ave , Thief River Falls MN 56701-2825. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mooney, Rene Helen can be contacted via phone (218) 755-5050.Contact Information
Primary practice address
313 Riverside Ave
Thief River Falls MN 56701-2825
Phone: (218) 755-5050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4883 | Minnesota |
Profile Details
| NPI number | 1477737120 |
|---|---|
| LBN Legal business name | Mooney, Rene Helen |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Jun 9th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477737120 | NPPES |
| North Dakota | MEDICAID | 17564 |
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