Nicole Louise Belleville, | |
1919 University Ave W Ste 501, Saint Paul, MN 55104-3453 | |
(651) 433-7207 | |
Not Available |
Full Name | Nicole Louise Belleville |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1919 University Ave W Ste 501, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235899162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Synergen Behavioral Health Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740829837 PECOS PAC ID: 3678998796 Enrollment ID: O20200806002886 |
Mailing Address | Practice Location Address |
---|---|
Nicole Louise Belleville, 1310 Highway 96 E Ste 200, White Bear Lake, MN 55110-3619 Ph: (651) 433-7207 | Nicole Louise Belleville, 1919 University Ave W Ste 501, Saint Paul, MN 55104-3453 Ph: (651) 433-7207 |
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978 | |
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141 | |
Abigail Brown, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000 | |
Pang Xiong, Counselor Medicare: Medicare Enrolled Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030 | |
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219 | |
Noah Rector, LICSW, LADC, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2353 Rice St, Saint Paul, MN 55113 Phone: 612-979-2683 |