Ms Sarah L Busch, LPCC | |
900 Golf Ave Sw, Pine City, MN 55063-5015 | |
(320) 629-7600 | |
(651) 925-0071 |
Full Name | Ms Sarah L Busch |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 900 Golf Ave Sw, Pine City, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245405539 | NPI | - | NPPES |
1245405539 | Medicaid | MN | |
40933000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3663-125 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 00968 (Minnesota) | Primary |
Entity Name | Therapeutic Services Agency Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497741607 PECOS PAC ID: 4981877891 Enrollment ID: O20111109000030 |
Mailing Address | Practice Location Address |
---|---|
Ms Sarah L Busch, LPCC 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Ms Sarah L Busch, LPCC 900 Golf Ave Sw, Pine City, MN 55063-5015 Ph: (320) 629-7600 |
Marianne Bernadette Thiry, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17305 Meadow Creek Lane, Pine City, MN 55063 Phone: 763-444-4878 | |
Dr. Lisa Elizabeth Nos-tollefson, PSYD LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Holstein Dr Ne, Pine City, MN 55063 Phone: 320-322-5122 Fax: 844-990-4122 | |
Bethany Renee Cleary, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Nicole Cecelia Hubbs, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Shirleen Kay Roach, LAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 17305 Meadow Creek Lane, Pine City, MN 55063 Phone: 763-444-4838 | |
Dr. Katrina Carlene Lussier-erickson, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 645 3rd Avenue Sw, Pine City, MN 55063 Phone: 320-629-0059 Fax: 320-629-9983 |