Shanasi Mason, | |
7041 20th Ave S, Centerville, MN 55038 | |
(651) 407-3631 | |
Not Available |
Full Name | Shanasi Mason |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7041 20th Ave S, Centerville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861948093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Ellie Family Services Pllp |
---|---|
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 |
---|---|
Shanasi Mason, 7041 20th Ave S, Centerville, MN 55038 Ph: (651) 407-3631 | Shanasi Mason, 7041 20th Ave S, Centerville, MN 55038 Ph: (651) 407-3631 |
Erica Reina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 | |
Autumn Terlouw, Counselor Medicare: Medicare Enrolled Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 | |
Heidi Marie Spetzman, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 612-924-3807 | |
Xong Vang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 Fax: 651-407-3751 | |
Judith Booth Reinhardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 Fax: 651-407-3751 | |
Mrs. Jennifer Lynn Larkey I, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 612-599-3811 | |
Kathryn Greenfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 |