Kylie Phelps, LPC | |
3033 Campus Dr Ste W225, Minneapolis, MN 55441-2752 | |
(415) 504-3838 | |
(415) 504-1367 |
Full Name | Kylie Phelps |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3033 Campus Dr Ste W225, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134676802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2022029205 (Missouri) | Secondary |
101Y00000X | Counselor | 0017923 (Colorado) | Secondary |
101Y00000X | Counselor | 70475 (Texas) | Primary |
Entity Name | Doctor On Demand Professionals P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20230911004112 |
Mailing Address | Practice Location Address |
---|---|
Kylie Phelps, LPC Po Box 3189, San Marcos, TX 78667-2717 Ph: (512) 298-4854 | Kylie Phelps, LPC 3033 Campus Dr Ste W225, Minneapolis, MN 55441-2752 Ph: (415) 504-3838 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 | |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 | |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 | |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 | |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 | |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 | |
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209 |