Rachel A Blumhardt, | |
2701 12th Ave S, Fargo, ND 58103-8753 | |
(701) 451-4900 | |
(651) 925-0057 |
Full Name | Rachel A Blumhardt |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2701 12th Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003146861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 522-2-1-05 (North Dakota) | Secondary |
101YP2500X | Counselor - Professional | 522-2-1-05-198 (North Dakota) | Primary |
Entity Name | Becoming Balanced Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285196303 PECOS PAC ID: 3072845411 Enrollment ID: O20191104002707 |
Mailing Address | Practice Location Address |
---|---|
Rachel A Blumhardt, 1201 25th St S, Po Box 9859, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Rachel A Blumhardt, 2701 12th Ave S, Fargo, ND 58103-8753 Ph: (701) 451-4900 |
Sarah Klimek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477 | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383 | |
Mary Beth Stensgard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539 | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057 | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649 | |
Dale A Carrier, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400 |