| 320 Counseling , Llc | |
|
600 25th Ave S Ste 109 Saint Cloud MN 56301-4820 | |
| (507) 202-4631 | |
| Not Available |
| Full Name | 320 Counseling , Llc |
|---|---|
| Speciality | Social Worker |
| Location | 600 25th Ave S Ste 109, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Melinda Rose Terhaar (OWNER) |
| Authorized Official Contact | 5072024631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 320 Counseling , Llc 5575 Loganberry Cir Rice MN 56367-4569 Ph: (507) 202-4631 | 320 Counseling , Llc 600 25th Ave S Ste 109 Saint Cloud MN 56301-4820 Ph: (507) 202-4631 |
| NPI Number | 1639725419 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 6103258520 |
|---|---|
| Medicare Enrollment ID | O20191122001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639725419 | NPI | - | NPPES |
| 1932601614 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melinda Terhaar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932601614 PECOS PAC ID: 1153662176 Enrollment ID: I20190401000785 |
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