| Chain Of Lakes Counseling, Llc | |
|
54064 Csah 20 Paynesville MN 56362-9533 | |
| (320) 492-9668 | |
| Not Available |
| Full Name | Chain Of Lakes Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 54064 Csah 20, Paynesville, Minnesota |
| Authorized Official Name and Position | Heather Anderson (OWNER) |
| Authorized Official Contact | 3204929668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chain Of Lakes Counseling, Llc 54064 Csah 20 Paynesville MN 56362-9533 Ph: (320) 492-9668 | Chain Of Lakes Counseling, Llc 54064 Csah 20 Paynesville MN 56362-9533 Ph: (320) 492-9668 |
| NPI Number | 1245058635 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Medicare PECOS PAC ID | 3779016274 |
|---|---|
| Medicare Enrollment ID | O20241022005057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245058635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Heather Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710115860 PECOS PAC ID: 1658742259 Enrollment ID: I20241003003468 |
Recovery Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Washburne Ave, Paynesville, MN 56362 Phone: 320-243-1599 | |