Sean Brandon Miller, | |
9201 75th Ave N, Brooklyn Park, MN 55428-1024 | |
(763) 315-7173 | |
(763) 951-3097 |
Full Name | Sean Brandon Miller |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 9201 75th Ave N, Brooklyn Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073142725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304610 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 4364 (Minnesota) | Primary |
Entity Name | Beacon Therapy Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412 |
Mailing Address | Practice Location Address |
---|---|
Sean Brandon Miller, 10179 192nd Ln Nw, Elk River, MN 55330-0140 Ph: (763) 242-5649 | Sean Brandon Miller, 9201 75th Ave N, Brooklyn Park, MN 55428-1024 Ph: (763) 315-7173 |
Jennifer Anne Franke, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8424 | |
Robert James Niehoff, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475 | |
Laura Bree Villaverde, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-439-5093 | |
Mrs. Lynndelle Kristin Pratt, M.S., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7600 Boone Ave N, Suite 2, Brooklyn Park, MN 55428 Phone: 763-504-8458 | |
Melissa Kay Tyo, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5500 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8840 | |
Mrs. Kelly Ann Tyer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475 | |
Stacey Lynn Wolfgram, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6900 78th Ave N, Brooklyn Park, MN 55445 Phone: 763-560-4412 |