Michelle Rae Theesfeld, MS LMHC | |
3726 450th Ave, Emmetsburg, IA 50536-8584 | |
(712) 852-3101 | |
(712) 852-3100 |
Full Name | Michelle Rae Theesfeld |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3726 450th Ave, Emmetsburg, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255634846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 001362 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 001362 (Iowa) | Primary |
Entity Name | Northwest Iowa Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689669459 PECOS PAC ID: 6204730450 Enrollment ID: O20031120000546 |
Mailing Address | Practice Location Address |
---|---|
Michelle Rae Theesfeld, MS LMHC Po Box 70, Rock Valley, IA 51247-0070 Ph: (712) 476-3281 | Michelle Rae Theesfeld, MS LMHC 3726 450th Ave, Emmetsburg, IA 50536-8584 Ph: (712) 852-3101 |
E Devona Perkins, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Broadway St # 1, Emmetsburg, IA 50536 Phone: 712-262-2922 | |
Michelle C Shryock, BA, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 1st St, Emmetsburg, IA 50536 Phone: 712-262-2922 Fax: 712-264-3135 | |
Ms. Shelby Cronk, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Broadway St, Emmetsburg, IA 50536 Phone: 712-262-2922 | |
Siobhan Danreis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Broadway St, Emmetsburg, IA 50536 Phone: 712-852-2922 | |
Haley Anne Keihn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 1st St, Emmetsburg, IA 50536 Phone: 712-852-5451 | |
Kari Lynn Anderson, MS LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3726 450th Ave, Emmetsburg, IA 50536 Phone: 712-852-3101 Fax: 712-852-3100 |