Shelby Elizabeth Lies, LPCC | |
1726 7th Ave S, Saint Cloud, MN 56301-5711 | |
(320) 229-6061 | |
(320) 229-6041 |
Full Name | Shelby Elizabeth Lies |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1726 7th Ave S, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922629575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2470 (Minnesota) | Primary |
Entity Name | Ellison Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740744242 PECOS PAC ID: 4688080989 Enrollment ID: O20210311001264 |
Mailing Address | Practice Location Address |
---|---|
Shelby Elizabeth Lies, LPCC 1845 Oak Rd, Saint Cloud, MN 56303-0309 Ph: (320) 310-8923 | Shelby Elizabeth Lies, LPCC 1726 7th Ave S, Saint Cloud, MN 56301-5711 Ph: (320) 229-6061 |
Emmanuel Oppong, Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne Ste 209, Saint Cloud, MN 56304 Phone: 320-237-6996 | |
Billy M Anderson, LICSW LADC Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne, 209, Saint Cloud, MN 56304 Phone: 320-259-7706 Fax: 320-251-4590 | |
Mallorie Hesse, MS, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1321 13th St N Bldg A, Saint Cloud, MN 56303 Phone: 320-252-5010 | |
Benedict A Walz, MS MDV MAC LADC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301 Phone: 320-252-5781 Fax: 320-252-5001 | |
Tonya Sharon Klug, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 13th St N, Saint Cloud, MN 56303 Phone: 320-252-5010 Fax: 320-203-1855 | |
Hamdi Mahat Sirat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358 | |
Nasro Aden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 612-707-7530 |