Mrs Sonia Jo Bly, MS, DC | |
1212 E College Dr, Marshall, MN 56258-2010 | |
(507) 532-3236 | |
(507) 532-0240 |
Full Name | Mrs Sonia Jo Bly |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1212 E College Dr, Marshall, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245242536 | NPI | - | NPPES |
613K4BL | Other | MN | BLUE CROSS BLUE SHIELD |
49412 | Other | MN | SIOUX VALLEY HEALTH |
988631045917 | Other | MN | PREFERRED ONE |
HP58525 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 00275 (Minnesota) | Primary |
Entity Name | Western Mental Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982613311 PECOS PAC ID: 7315856119 Enrollment ID: O20040226000053 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sonia Jo Bly, MS, DC 205 Prairieview Ct, Marshall, MN 56258-5486 Ph: () - | Mrs Sonia Jo Bly, MS, DC 1212 E College Dr, Marshall, MN 56258-2010 Ph: (507) 532-3236 |
Sarah Vanhoudt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 Birch St, Marshall, MN 56258 Phone: 507-532-3008 Fax: 507-532-3058 | |
Kristin Hoppe, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Katrina Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Megan Benedict, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-337-4926 | |
Jennifer Joy Scouton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 Birch St, Marshall, MN 56258 Phone: 507-532-3008 | |
Mr. Scott James Radloff, LADC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Marshall, MN 56258 Phone: 507-873-5458 Fax: 507-537-6088 |