A New Horizons Counseling Services Llc | |
507 4th St Ne Devils Lake ND 58301-2501 | |
(701) 662-5590 | |
Not Available |
Full Name | A New Horizons Counseling Services Llc |
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Speciality | Social Worker |
Location | 507 4th St Ne, Devils Lake, North Dakota |
Authorized Official Name and Position | Roxanne Mae Rose (OWNER/LICENSED CERTIFIED SOCIAL WOR) |
Authorized Official Contact | 7016625590 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A New Horizons Counseling Services Llc 507 4th St Ne Devils Lake ND 58301-2501 Ph: (701) 662-5590 | A New Horizons Counseling Services Llc 507 4th St Ne Devils Lake ND 58301-2501 Ph: (701) 662-5590 |
NPI Number | 1558731257 |
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Provider Enumeration Date | 10/07/2015 |
Last Update Date | 03/16/2016 |
Medicare PECOS PAC ID | 3072805068 |
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Medicare Enrollment ID | O20160712002343 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558731257 | NPI | - | NPPES |
1465157 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 2096 (North Dakota) | Primary |
Provider Name | Roxanne M Rose |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124084942 PECOS PAC ID: 7517953037 Enrollment ID: I20040421001076 |
Provider Name | Donna E Dalgetty |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891945390 PECOS PAC ID: 8527238781 Enrollment ID: I20200622001762 |
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