Aheartt | |
4505 White Bear Pkwy Ste 1500 White Bear Lake MN 55110 | |
(651) 493-8150 | |
(651) 493-9335 |
Full Name | Aheartt |
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Speciality | Social Worker |
Location | 4505 White Bear Pkwy Ste 1500, White Bear Lake, Minnesota |
Authorized Official Name and Position | Diane Lynn Hovey (PRESIDENT) |
Authorized Official Contact | 6514704671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aheartt 4505 White Bear Pkwy Ste 1500 White Bear Lake MN 55110-3697 Ph: (651) 493-8150 | Aheartt 4505 White Bear Pkwy Ste 1500 White Bear Lake MN 55110 Ph: (651) 493-8150 |
NPI Number | 1275967374 |
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Provider Enumeration Date | 08/26/2013 |
Last Update Date | 08/16/2021 |
Certification Date | 08/16/2021 |
Medicare PECOS PAC ID | 3173832722 |
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Medicare Enrollment ID | O20151021001439 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275967374 | NPI | - | NPPES |
1275967374 | Medicaid | MN |
Provider Name | Carol J Ladd |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558755470 PECOS PAC ID: 6204140965 Enrollment ID: I20150810000035 |
Provider Name | Chris Heise |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952630477 PECOS PAC ID: 7719313071 Enrollment ID: I20200204002125 |
Provider Name | Catherine Jean Gerth |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1801480439 PECOS PAC ID: 4284085341 Enrollment ID: I20240112002801 |
Provider Name | Charles Bulman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205252558 PECOS PAC ID: 6204963739 Enrollment ID: I20240113000106 |
Provider Name | Kelly Elisa Ryan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699217315 PECOS PAC ID: 8224472287 Enrollment ID: I20240216004306 |
Provider Name | Shannon Himango |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1528438421 PECOS PAC ID: 5597109108 Enrollment ID: I20240221003731 |
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