Ashley Bauch, LADC, LPCC | |
3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
(651) 313-8080 | |
Not Available |
Full Name | Ashley Bauch |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3875 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710618400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3217 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
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Ashley Bauch, LADC, LPCC 12500 46th Ave N, Plymouth, MN 55442-2427 Ph: (612) 469-8875 | Ashley Bauch, LADC, LPCC 3875 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 Ph: (651) 313-8080 |
Abigail Fletcher, Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Mrs. Nikisha Lynnette Simmons-maclin, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448 Phone: 612-636-9677 | |
Adam Palowski, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10077 Dogwood St Nw, Coon Rapids, MN 55448 Phone: 612-676-1604 | |
Charles Lochner, MA Counselor Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912 | |
Ms. Kristal Ficzeri, MA Counselor Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Calsi Gilbertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Hong Fa Thao, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-767-7222 |