Nathaniel Martin Shields, | |
111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | |
(612) 274-7532 | |
(952) 426-3856 |
Full Name | Nathaniel Martin Shields |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 111 Hundertmark Rd Ste 205n, Chaska, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609473990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC02597 (Minnesota) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
---|---|
Nathaniel Martin Shields, 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 Ph: (612) 274-7532 | Nathaniel Martin Shields, 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 Ph: (612) 274-7532 |
Mrs. Dawn M Bunke, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Stoughton Ave, Chaska, MN 55318 Phone: 952-297-8656 | |
Catherine F. Fitterer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 4th St, Chaska, MN 55318 Phone: 952-361-1600 Fax: 952-361-1660 | |
Kimberly Kathleen Sandiford, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318 Phone: 952-395-1441 | |
Armani S Cartlidge, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd Ste 121, Chaska, MN 55318 Phone: 952-361-3360 Fax: 763-544-1008 | |
Michael Winter, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 586 Westwood Ln, Chaska, MN 55318 Phone: 952-200-7093 | |
Coreen Tracee Jander, MA (LPCC-TX) Counselor Medicare: Medicare Enrolled Practice Location: 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318 Phone: 952-395-1441 Fax: 952-395-1442 | |
Michelle Tesch, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Stoughton Ave, Chaska, MN 55318 Phone: 952-448-6557 Fax: 952-448-6047 |