| Birch & Pine Counseling Pllp | |
|
1618 Cloquet Ave Cloquet MN 55720-1948 | |
| (218) 451-2116 | |
| Not Available |
| Full Name | Birch & Pine Counseling Pllp |
|---|---|
| Speciality | Social Worker |
| Location | 1618 Cloquet Ave, Cloquet, Minnesota |
| Authorized Official Name and Position | Ashley Rhoads (OWNER) |
| Authorized Official Contact | 2184512116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch & Pine Counseling Pllp 1618 Cloquet Ave Cloquet MN 55720-1948 Ph: (218) 451-2116 | Birch & Pine Counseling Pllp 1618 Cloquet Ave Cloquet MN 55720-1948 Ph: (218) 451-2116 |
| NPI Number | 1649915281 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 9436525482 |
|---|---|
| Medicare Enrollment ID | O20221017002890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649915281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bailey M Homstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144795162 PECOS PAC ID: 2860745270 Enrollment ID: I20181101002419 |
| Provider Name | Rachel Leigh Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801246061 PECOS PAC ID: 5294166013 Enrollment ID: I20200512001365 |
| Provider Name | Nicole Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386232841 PECOS PAC ID: 8628467669 Enrollment ID: I20211115000412 |
| Provider Name | Sharlene May Santmyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245816701 PECOS PAC ID: 8527457464 Enrollment ID: I20211115000465 |
| Provider Name | Ashley Rhoads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184228660 PECOS PAC ID: 1557751906 Enrollment ID: I20211130000134 |
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