Karen Naomi Tyson, MA, LPCC | |
906 Vermillion St, Hastings, MN 55033-2135 | |
(651) 212-4920 | |
Not Available |
Full Name | Karen Naomi Tyson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 906 Vermillion St, Hastings, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104662964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4466 (Minnesota) | Primary |
Entity Name | Wild Tree Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431 |
Mailing Address | Practice Location Address |
---|---|
Karen Naomi Tyson, MA, LPCC 906 Vermillion St, Hastings, MN 55033-2135 Ph: (651) 212-4920 | Karen Naomi Tyson, MA, LPCC 906 Vermillion St, Hastings, MN 55033-2135 Ph: (651) 212-4920 |
Ryan Harmond Ostler, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1294 18th St E, Hastings, MN 55033 Phone: 612-434-9950 | |
Tiffany Rose Allen, MA,LAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 S Frontage Rd Ste 271, Hastings, MN 55033 Phone: 612-965-2545 | |
Bernie Jerome Menge, MA. LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1303 S Frontage Rd Ste 275, Hastings, MN 55033 Phone: 651-319-6484 Fax: 651-925-0442 | |
Mrs. Pam Schmitt, BCC,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11177 Panama Ave S, Hastings, MN 55033 Phone: 651-558-1838 | |
Melissa Ann Thoen, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1294 18th St E, Hastings, MN 55033 Phone: 651-314-1139 | |
Christopher Lee Fehl, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1294 18th St E, Hastings, MN 55033 Phone: 651-888-4454 |