Tina Marie Mcdonough, LICSW | |
5878 Blackshire Path, Inver Grove Heights, MN 55076-1621 | |
(612) 239-6262 | |
Not Available |
Full Name | Tina Marie Mcdonough |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 5878 Blackshire Path, Inver Grove Heights, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669815643 | NPI | - | NPPES |
1669815643 | Medicaid | MN | |
VN000088953001 | Medicaid | MN |
Entity Name | Spirit In Bloom Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992152862 PECOS PAC ID: 1052607843 Enrollment ID: O20160902000813 |
Mailing Address | Practice Location Address |
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Tina Marie Mcdonough, LICSW 14100 Ailesbury Ave, Rosemount, MN 55068-2958 Ph: (612) 239-6262 | Tina Marie Mcdonough, LICSW 5878 Blackshire Path, Inver Grove Heights, MN 55076-1621 Ph: (612) 239-6262 |
Lydia Ricard, MS Counselor Medicare: Medicare Enrolled Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2672 | |
Kelsey Rehome, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5878 Blackshire Path, Inver Grove Heights, MN 55076 Phone: 123-528-5076 | |
Mrs. Jillian Elise Holtz Damron, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5625 Cenex Dr, Inver Grove Heights, MN 55077 Phone: 651-552-2600 Fax: 651-552-2614 | |
Mr. Anton Dante Evans, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077 Phone: 612-872-1477 Fax: 952-448-6047 | |
Laurie Lynn Murray, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Blackshire Path, Inver Grove Heights, MN 55076 Phone: 651-245-9484 | |
Mary Brehl, PRE-LICENCED MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6857 Alverno Ct, Inver Grove Heights, MN 55077 Phone: 612-219-4953 | |
Ms. Sara Jane Gogerty, MA, LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8891 Broderick Blvd Apt 310, Inver Grove Heights, MN 55076 Phone: 651-662-2789 |