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Acres for Life Therapy & Wellness Center

NPI 1053702910ActiveOrganization· Counselor· Chisago City, MN

Counselor in Chisago City, Minnesota, registered in NPPES in February 2015. The authorized official on file is Lynn Marie Moore, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1053702910
StatusActive
Entity typeOrganization
NPI issuedFeb 13, 2015
Last updated in NPPESFeb 13, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Counselor Primary101Y00000X302220MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

Other Counselor providers in Chisago City

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