Veemah Integrated Wellness & Consulting Services, LLC
Psychologist in Champlin, MN. Organization (NPI-2).
NPI number1982103644
StatusActive
Last updated in NPPESFeb 8, 2018
Details
- NPI
- 1982103644
- Entity type
- Organization (NPI-2)
- Legal business name
- Veemah Integrated Wellness & Consulting Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2018
- Last updated
- Feb 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LP6152 | MN | Yes |
Other names
- Veemah Integrated Wellness & Consulting Services, LLC (Former Legal Business Name)
Practice location
11112 Hillsboro Ave NChamplin, MN 55316-3128
Phone 763-228-8086
Mailing address
11112 Hillsboro Ave NChamplin, MN 55316-3128
Authorized official
Vivian Korpo Ballah-Swaray
Psychologist
7632288086
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