| Center For Family Counseling Inc | |
|
2025 Stearns Way Suite 111 St Cloud MN 56303 | |
| (320) 253-3540 | |
| (651) 383-4931 |
| Full Name | Center For Family Counseling Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2025 Stearns Way, St Cloud, Minnesota |
| Authorized Official Name and Position | Paula J Flanagan (BUSINESS MANAGER) |
| Authorized Official Contact | 3202533540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Counseling Inc 2025 Stearns Way Suite 111 St Cloud MN 56303 Ph: (320) 253-3540 | Center For Family Counseling Inc 2025 Stearns Way Suite 111 St Cloud MN 56303 Ph: (320) 253-3540 |
| NPI Number | 1588731327 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 9638075963 |
|---|---|
| Medicare Enrollment ID | O20031209000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588731327 | NPI | - | NPPES |
| 74D64CE | Other | MN | BCBS |
| 052300300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1015564-1-MHC (Minnesota) | Primary |
| Provider Name | Sherri L Eichers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003116047 PECOS PAC ID: 5799930228 Enrollment ID: I20130306000341 |
| Provider Name | Terri Fedorenko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619349149 PECOS PAC ID: 6507208204 Enrollment ID: I20240528000554 |
| Provider Name | Randolph Stanko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215077318 PECOS PAC ID: 5092157685 Enrollment ID: I20240529000050 |
| Provider Name | Terrance Thomas Skaggs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124665658 PECOS PAC ID: 7315389921 Enrollment ID: I20240529000606 |
| Provider Name | Paula Jean Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447744701 PECOS PAC ID: 7214379742 Enrollment ID: I20240529001838 |
| Provider Name | Jerilyn J Fischer-arnold |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336370667 PECOS PAC ID: 6709228265 Enrollment ID: I20240529002841 |
St. Cloud Metro Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 25th Avenue, St Cloud, MN 56303 Phone: 320-202-1909 Fax: 320-202-1910 |