| Achieving Balance Counseling, Ltd | |
|
100 Warren St Ste 304 Mankato MN 56001-3762 | |
| (507) 420-5671 | |
| Not Available |
| Full Name | Achieving Balance Counseling, Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 100 Warren St Ste 304, Mankato, Minnesota |
| Authorized Official Name and Position | Darcy Lee Wennes (PRESIDENT) |
| Authorized Official Contact | 5074205671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieving Balance Counseling, Ltd 2713 Itasca Dr Mankato MN 56001-5556 Ph: (507) 420-5671 | Achieving Balance Counseling, Ltd 100 Warren St Ste 304 Mankato MN 56001-3762 Ph: (507) 420-5671 |
| NPI Number | 1932852357 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 0042604795 |
|---|---|
| Medicare Enrollment ID | O20220223002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932852357 | NPI | - | NPPES |
| 1275082752 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darcy Wennes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275082752 PECOS PAC ID: 2668750290 Enrollment ID: I20161101002469 |
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