| Crosswinds Counseling | |
|
1895 E Co Rd E White Bear Lake MN 55110 | |
| (651) 890-6031 | |
| Not Available |
| Full Name | Crosswinds Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1895 E Co Rd E, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Amy Hertle (OWNER) |
| Authorized Official Contact | 6518906031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswinds Counseling 1895 E Co Rd E White Bear Lake MN 55110 Ph: (651) 890-6031 | Crosswinds Counseling 1895 E Co Rd E White Bear Lake MN 55110 Ph: (651) 890-6031 |
| NPI Number | 1477876993 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Medicare PECOS PAC ID | 7618007253 |
|---|---|
| Medicare Enrollment ID | O20100609000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477876993 | NPI | - | NPPES |
| 800002130 | Other | MN | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14904 (Minnesota) | Primary |
| Provider Name | Amy Beth Hertle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376605808 PECOS PAC ID: 0840359758 Enrollment ID: I20081110000821 |
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