Lisa Van Tassell, MA, LPC | |
9075 Quaday Ave Ne, Suite 102, Elk River, MN 55330-6672 | |
(763) 746-9492 | |
Not Available |
Full Name | Lisa Van Tassell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 9075 Quaday Ave Ne, Elk River, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659514503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC00537 (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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Lisa Van Tassell, MA, LPC 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: () - | Lisa Van Tassell, MA, LPC 9075 Quaday Ave Ne, Suite 102, Elk River, MN 55330-6672 Ph: (763) 746-9492 |
Alyssa Catherine Wentworth, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18336 Joplin St Nw, Elk River, MN 55330 Phone: 763-350-9687 | |
Sheila Ann Selinsky, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 5, Elk River, MN 55330 Phone: 763-237-3505 Fax: 763-237-3505 | |
Heather Jean Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-333-8001 | |
Tyler Antony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381 | |
Mrs. Katherine Lynn Hardy-roth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-633-5111 | |
Mrs. Jade Matraca Blaser, MSW, LADC, LGSW Counselor Medicare: Medicare Enrolled Practice Location: 1230 School St Nw, Elk River, MN 55330 Phone: 763-241-3558 | |
Claudia Wood, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 544 3rd St Nw Ste 210, Elk River, MN 55330 Phone: 612-444-8039 Fax: 612-324-7423 |