Alliance Mediation & Therapy, Pc | |
418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 | |
(701) 751-1549 | |
(701) 751-1549 |
Full Name | Alliance Mediation & Therapy, Pc |
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Speciality | Community/Behavioral Health |
Location | 418 E Broadway Ave, Bismarck, North Dakota |
Authorized Official Name and Position | Stephen Huebschwerlen (SOCIAL WORKER/ THERAPIST, MEDIATOR) |
Authorized Official Contact | 7017511549 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Mediation & Therapy, Pc 418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 Ph: (701) 751-1549 | Alliance Mediation & Therapy, Pc 418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 Ph: (701) 751-1549 |
NPI Number | 1922304716 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 03/18/2014 |
Medicare PECOS PAC ID | 9133378516 |
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Medicare Enrollment ID | O20120928000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922304716 | NPI | - | NPPES |
19283 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 200 (North Dakota) | Primary |
Provider Name | Stephen Huebschwerlen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528268539 PECOS PAC ID: 8921199696 Enrollment ID: I20070809000435 |
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