Corner Post Counseling, Pllc | |
1702 E Main St Ste 101 Mandan ND 58554-3818 | |
(701) 751-8060 | |
(701) 751-8060 |
Full Name | Corner Post Counseling, Pllc |
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Speciality | Clinic/Center |
Location | 1702 E Main St Ste 101, Mandan, North Dakota |
Authorized Official Name and Position | Lisa M. Goetz (OWNER) |
Authorized Official Contact | 7017518060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corner Post Counseling, Pllc 1702 E Main St Ste 101 Mandan ND 58554-3818 Ph: (701) 751-8060 | Corner Post Counseling, Pllc 1702 E Main St Ste 101 Mandan ND 58554-3818 Ph: (701) 751-8060 |
NPI Number | 1316395189 |
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Provider Enumeration Date | 06/01/2016 |
Last Update Date | 07/06/2020 |
Certification Date | 07/06/2020 |
Medicare PECOS PAC ID | 8628412533 |
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Medicare Enrollment ID | O20240220000658 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316395189 | NPI | - | NPPES |
1473614 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Lisa M Goetz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154746212 PECOS PAC ID: 3971875477 Enrollment ID: I20240220001267 |
Provider Name | Candace Rivinius |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295287183 PECOS PAC ID: 4688011489 Enrollment ID: I20240327003839 |
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