| Advanced Behavioral Health, Inc | |
|
6160 Summit Dr N Ste 375 Brooklyn Center MN 55430-2251 | |
| (763) 560-8331 | |
| (763) 560-8431 |
| Full Name | Advanced Behavioral Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6160 Summit Dr N Ste 375, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Susan Kay Voss (OWNER/CEO) |
| Authorized Official Contact | 7635608331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health, Inc 6160 Summit Dr N Ste 375 Brooklyn Center MN 55430-2251 Ph: (763) 560-8331 | Advanced Behavioral Health, Inc 6160 Summit Dr N Ste 375 Brooklyn Center MN 55430-2251 Ph: (763) 560-8331 |
| NPI Number | 1013139419 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9436287042 |
|---|---|
| Medicare Enrollment ID | O20231220003883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013139419 | NPI | - | NPPES |
| Provider Name | Sue Anne Marie Lammert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144575192 PECOS PAC ID: 4981054673 Enrollment ID: I20231220003971 |
| Provider Name | Rory Ellen Osberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639599517 PECOS PAC ID: 6608226394 Enrollment ID: I20231220004029 |
| Provider Name | John Crouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265068340 PECOS PAC ID: 1951751643 Enrollment ID: I20231220004101 |
| Provider Name | Emma Terry Edwins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124731112 PECOS PAC ID: 4789034497 Enrollment ID: I20231221000629 |
| Provider Name | Daniel Christopher-hage Dugger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720684459 PECOS PAC ID: 0042660755 Enrollment ID: I20231221000650 |
| Provider Name | Fejzudin Turnadzic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891478384 PECOS PAC ID: 8921458662 Enrollment ID: I20231221001597 |
| Provider Name | Sarah Tuttle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710602826 PECOS PAC ID: 6608226352 Enrollment ID: I20231221001870 |
| Provider Name | Joan Marie Oslund-goleczka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669527651 PECOS PAC ID: 2264884964 Enrollment ID: I20240118001496 |
| Provider Name | Susan Kay Voss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407991854 PECOS PAC ID: 6901256692 Enrollment ID: I20240221001227 |
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