| Centerlife Counseling, Llc | |
|
7039 20th Ave Centerville MN 55038-9737 | |
| (651) 288-0332 | |
| Not Available |
| Full Name | Centerlife Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7039 20th Ave, Centerville, Minnesota |
| Authorized Official Name and Position | Kimberly Ann Lundholm-eades (OWNER) |
| Authorized Official Contact | 6512880332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerlife Counseling, Llc 7039 20th Ave Centerville MN 55038-9737 Ph: (651) 288-0332 | Centerlife Counseling, Llc 7039 20th Ave Centerville MN 55038-9737 Ph: (651) 288-0332 |
| NPI Number | 1417283946 |
|---|---|
| Provider Enumeration Date | 10/18/2009 |
| Last Update Date | 01/21/2019 |
| Medicare PECOS PAC ID | 0547391187 |
|---|---|
| Medicare Enrollment ID | O20100626000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417283946 | NPI | - | NPPES |
| Provider Name | Gretchen S Kirvida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215097928 PECOS PAC ID: 8921050188 Enrollment ID: I20050216000062 |
| Provider Name | James Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255431243 PECOS PAC ID: 0941248124 Enrollment ID: I20050419000597 |
| Provider Name | Steven M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063475408 PECOS PAC ID: 3779512512 Enrollment ID: I20050811000535 |
| Provider Name | Mary F Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609927755 PECOS PAC ID: 5193901460 Enrollment ID: I20110520000671 |
| Provider Name | Kandee K Timmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437248713 PECOS PAC ID: 9133396286 Enrollment ID: I20120113000031 |
| Provider Name | Leanne M Mairs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053567560 PECOS PAC ID: 2961644018 Enrollment ID: I20130820000502 |
| Provider Name | Alex Nc Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578802336 PECOS PAC ID: 9436465705 Enrollment ID: I20150901001578 |
| Provider Name | Sonya L Knudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811370729 PECOS PAC ID: 1557615085 Enrollment ID: I20181119002589 |
| Provider Name | Ann M Schissel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467842310 PECOS PAC ID: 1658617501 Enrollment ID: I20190114001889 |
| Provider Name | Nicole M Linder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598165946 PECOS PAC ID: 8820403348 Enrollment ID: I20210216000953 |
| Provider Name | James W Contois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265973358 PECOS PAC ID: 8022415371 Enrollment ID: I20210929000866 |
| Provider Name | Jolene M Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295499192 PECOS PAC ID: 9234520271 Enrollment ID: I20211229001361 |
| Provider Name | Patricia J Kniskern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164187639 PECOS PAC ID: 8729470794 Enrollment ID: I20220125001323 |
| Provider Name | Alexandra Bonyata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770296634 PECOS PAC ID: 8527430719 Enrollment ID: I20230216002381 |
| Provider Name | Sheila Grow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265916456 PECOS PAC ID: 3274905369 Enrollment ID: I20230220000840 |
| Provider Name | Kimberly Lundholm-eades |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538253133 PECOS PAC ID: 4082745625 Enrollment ID: I20240308003437 |
| Provider Name | Terri M Ulschmid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811131071 PECOS PAC ID: 4981040011 Enrollment ID: I20240312002367 |
| Provider Name | Tia M Heimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750077202 PECOS PAC ID: 3678919701 Enrollment ID: I20240312002564 |
| Provider Name | Nicholas Vorpahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124547187 PECOS PAC ID: 2860839800 Enrollment ID: I20240326001702 |
| Provider Name | Nandini Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992567655 PECOS PAC ID: 8628416781 Enrollment ID: I20240409001618 |
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