| Behavioral Health Advocacy Services Llc | |
|
130 Park Ave S Ste 3 Saint Cloud MN 56301-6196 | |
| (320) 251-4571 | |
| (320) 205-0930 |
| Full Name | Behavioral Health Advocacy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Park Ave S Ste 3, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Erin Lundquist (BUSINESS MANAGER) |
| Authorized Official Contact | 3202514571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Advocacy Services Llc Po Box 7698 Saint Cloud MN 56302-7698 Ph: (320) 251-4571 | Behavioral Health Advocacy Services Llc 130 Park Ave S Ste 3 Saint Cloud MN 56301-6196 Ph: (320) 251-4571 |
| NPI Number | 1558929539 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 3173935798 |
|---|---|
| Medicare Enrollment ID | O20201223000872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558929539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kia C Cashman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023340734 PECOS PAC ID: 5991835829 Enrollment ID: I20100618000713 |
| Provider Name | Kenneth S Turck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902353840 PECOS PAC ID: 1658626437 Enrollment ID: I20201223001272 |
| Provider Name | Caitlyn E Ramberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730709981 PECOS PAC ID: 9436561073 Enrollment ID: I20201223001816 |
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