Alivia Ebacher, LMFT | |
1611 County Road B W Ste 204, Roseville, MN 55113-4053 | |
(651) 354-1933 | |
Not Available |
Full Name | Alivia Ebacher |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1611 County Road B W Ste 204, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245901859 | NPI | - | NPPES |
1770912271 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3955 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Alivia Ebacher, LMFT 1611 County Road B W Ste 204, Roseville, MN 55113-4053 Ph: (651) 354-1933 | Alivia Ebacher, LMFT 1611 County Road B W Ste 204, Roseville, MN 55113-4053 Ph: (651) 354-1933 |
Mr. Robert Mills Ritchie Jr., LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 Woodbridge St, Roseville, MN 55113 Phone: 651-773-0832 Fax: 651-773-9115 | |
Cute Jesse Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2837 Matilda St, Roseville, MN 55113 Phone: 901-218-0312 | |
Killy Kitzmann, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2151 Hamline Ave N Ste 200, Roseville, MN 55113 Phone: 651-583-5565 | |
Laurna Kay Blassingame, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3091 Mount Ridge Rd, Roseville, MN 55113 Phone: 612-805-6965 | |
Samantha Hinderks, Counselor Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Suite 411, Roseville, MN 55113 Phone: 651-208-7753 | |
Michael Anthony Branchaud, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2489 Rice St, Suite 90, Roseville, MN 55113 Phone: 651-528-7550 | |
Malaurie Bluhm, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1700 Highway 36 W, Roseville, MN 55113 Phone: 952-460-9085 |