Mr Timothy James Anderson, MSLMFT | |
7251 Excelsior Rd, Baxter, MN 56425 | |
(218) 232-6067 | |
(218) 454-0879 |
Full Name | Mr Timothy James Anderson |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 7251 Excelsior Rd, Baxter, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316303928 | NPI | - | NPPES |
L642115036912 | Other | MN | DRIVERS LICENSE NUMBER |
2900 | Other | MN | MINNESOTA STATE LMFT NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 2900 (Minnesota) | Primary |
Entity Name | Lakes Country Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023322351 PECOS PAC ID: 7214257849 Enrollment ID: O20161025000047 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy James Anderson, MSLMFT 7251 Excelsior Rd, Baxter, MN 56425-8477 Ph: (218) 454-0878 | Mr Timothy James Anderson, MSLMFT 7251 Excelsior Rd, Baxter, MN 56425 Ph: (218) 232-6067 |
Jenifer Budnick, Couples Therapy Medicare: Medicare Enrolled Practice Location: 13782 Bluestem Ct Ste 100, Baxter, MN 56425 Phone: 651-313-8080 | |
Joseph Micheal Mullen Iii, MS,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6988 Fox Rd, Baxter, MN 56425 Phone: 218-251-6700 Fax: 218-454-8025 | |
Sydney Shae Swenson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr, Baxter, MN 56425 Phone: 218-297-2133 | |
Samantha Laughery, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr # 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Kelsey Malinda Middleton, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7251 Excelsior Rd, Baxter, MN 56425 Phone: 218-831-7337 | |
Glenn Alan Browning, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7251 Excelsior Rd, Baxter, MN 56425 Phone: 218-545-0878 Fax: 218-454-0879 |