| Colleen Bethel, Msw, Licsw, L.l.c. | |
|
1904 44th Ave N Minneapolis MN 55412-1210 | |
| (612) 529-5146 | |
| Not Available |
| Full Name | Colleen Bethel, Msw, Licsw, L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1904 44th Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | Colleen Patricia Havlin Bethel (OWNER) |
| Authorized Official Contact | 6125627988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Bethel, Msw, Licsw, L.l.c. 1904 44th Ave N Minneapolis MN 55412-1210 Ph: (612) 529-5146 | Colleen Bethel, Msw, Licsw, L.l.c. 1904 44th Ave N Minneapolis MN 55412-1210 Ph: (612) 529-5146 |
| NPI Number | 1437735073 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Medicare PECOS PAC ID | 1254719297 |
|---|---|
| Medicare Enrollment ID | O20220603001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437735073 | NPI | - | NPPES |
| 1598064016 | Other | MN | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Colleen Patricia Havlin Bethel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598064016 PECOS PAC ID: 8527243088 Enrollment ID: I20110426000829 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Resilient Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E 48th St Ste 5, Minneapolis, MN 55417 Phone: 651-802-8302 | |
The Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 200, Minneapolis, MN 55404 Phone: 612-596-9438 Fax: 612-329-4500 |