Noel Willis, MS, LMFT | |
150 10th St Nw Ste 2, Milaca, MN 56353-1737 | |
(320) 983-8033 | |
(651) 342-8029 |
Full Name | Noel Willis |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 150 10th St Nw Ste 2, Milaca, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487277034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (Minnesota) | Primary |
Entity Name | Lighthouse Child & Family Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689861197 PECOS PAC ID: 1850571795 Enrollment ID: O20110209000428 |
Mailing Address | Practice Location Address |
---|---|
Noel Willis, MS, LMFT 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-8033 | Noel Willis, MS, LMFT 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-8033 |
Katherine Roguske, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 3rd Ave Nw, Milaca, MN 56353 Phone: 320-983-2335 | |
Kelsey Ann Gruba, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 15010th St Nw, Ste 2, Milaca, MN 56353 Phone: 320-983-2335 Fax: 651-342-8029 | |
Amy Boldt, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 Fax: 651-342-8029 | |
Amber Hosie, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 Fax: 651-342-8029 |