Lisa Elaine Livingston, MS, LPCC, LADC | |
819 30th Ave S Ste 102, Moorhead, MN 56560-5000 | |
(218) 979-3560 | |
(218) 284-1080 |
Full Name | Lisa Elaine Livingston |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 819 30th Ave S Ste 102, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245706597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1663 (Minnesota) | Primary |
Entity Name | Greater Minnesota Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598163503 PECOS PAC ID: 2365893369 Enrollment ID: O20240103003596 |
Mailing Address | Practice Location Address |
---|---|
Lisa Elaine Livingston, MS, LPCC, LADC 819 30th Ave S Ste 102, Moorhead, MN 56560-5000 Ph: (218) 979-3560 | Lisa Elaine Livingston, MS, LPCC, LADC 819 30th Ave S Ste 102, Moorhead, MN 56560-5000 Ph: (218) 979-3560 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |