Mrs Bethany Lynn Reyant, RD, LD, LADC | |
11939 River Hills Dr, Burnsville, MN 55337-1354 | |
(952) 890-4480 | |
(952) 890-4943 |
Full Name | Mrs Bethany Lynn Reyant |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 11939 River Hills Dr, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497260350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304364 (Minnesota) | Primary |
Entity Name | Fernbrook Family Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
Mailing Address | Practice Location Address |
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Mrs Bethany Lynn Reyant, RD, LD, LADC 11939 River Hills Dr, Burnsville, MN 55337-1354 Ph: (952) 890-4480 | Mrs Bethany Lynn Reyant, RD, LD, LADC 11939 River Hills Dr, Burnsville, MN 55337-1354 Ph: (952) 890-4480 |
Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562 | |
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954 | |
Bridgett Littel, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14551 Judicial Rd, Burnsville, MN 55306 Phone: 952-898-5020 | |
John Gawboy, Counselor Medicare: Medicare Enrolled Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690 | |
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517 | |
Donna Louise Martin-wallace, LPCC, LADC, ADCR-MN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991 | |
Bridget Mozina, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14591 Grand Ave Ste 206, Burnsville, MN 55306 Phone: 612-699-3300 Fax: 612-699-4400 |