Ms Ashley Victoria Bradt, LPCC, LADC | |
201 Main Street W, Isanti, MN 55040-7163 | |
(763) 600-2911 | |
Not Available |
Full Name | Ms Ashley Victoria Bradt |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 201 Main Street W, Isanti, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245722172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1827 (Minnesota) | Primary |
Entity Name | Serenity Circle Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366766206 PECOS PAC ID: 9638552813 Enrollment ID: O20220822000802 |
Mailing Address | Practice Location Address |
---|---|
Ms Ashley Victoria Bradt, LPCC, LADC Po Box 23, Isanti, MN 55040-0023 Ph: (763) 600-2911 | Ms Ashley Victoria Bradt, LPCC, LADC 201 Main Street W, Isanti, MN 55040-7163 Ph: (763) 600-2911 |
Kevin Lowery Moore, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4463 261st Ave Nw, Isanti, MN 55040 Phone: 176-327-6028 | |
Jacqueline Bleess, MS, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 West Main Street, Isanti, MN 55040 Phone: 507-461-4122 | |
Dawn Borer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27114 Bayshore Dr, Isanti, MN 55040 Phone: 763-227-7223 | |
Melissa Lynn Martini-tischer, MA Counselor Medicare: Medicare Enrolled Practice Location: 303 Credit Union Dr Ste 12a, Isanti, MN 55040 Phone: 612-296-8901 Fax: 651-390-6178 | |
Cicely Matz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 6th Ave Ne # 1, Isanti, MN 55040 Phone: 651-983-8023 | |
Dr. Tammy Rhine, PHD, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 W Main St, Isanti, MN 55040 Phone: 763-377-3269 |