| The Duluth Counseling Center | |
|
11 E Superior St Ste 415 Duluth MN 55802-2007 | |
| (218) 393-5407 | |
| Not Available |
| Full Name | The Duluth Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11 E Superior St Ste 415, Duluth, Minnesota |
| Authorized Official Name and Position | Katie Elizabeth Erickson (OWNER) |
| Authorized Official Contact | 2183935407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Duluth Counseling Center 11 E Superior St Ste 415 Duluth MN 55802-2007 Ph: (218) 249-0595 | The Duluth Counseling Center 11 E Superior St Ste 415 Duluth MN 55802-2007 Ph: (218) 393-5407 |
| NPI Number | 1679815823 |
|---|---|
| Provider Enumeration Date | 03/25/2013 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 9335408483 |
|---|---|
| Medicare Enrollment ID | O20180117001404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679815823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Hannah C Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720406309 PECOS PAC ID: 8921221243 Enrollment ID: I20140513002313 |
| Provider Name | Diane K Brazill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467602623 PECOS PAC ID: 2264658434 Enrollment ID: I20140723002517 |
| Provider Name | Lisa M Haberling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740666221 PECOS PAC ID: 9436466307 Enrollment ID: I20150910001104 |
| Provider Name | Rebecca H Oachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952840464 PECOS PAC ID: 0143506741 Enrollment ID: I20170414000262 |
| Provider Name | Nicole M Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194204420 PECOS PAC ID: 2062764731 Enrollment ID: I20181008000968 |
| Provider Name | Leah M Zook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477037711 PECOS PAC ID: 3375897952 Enrollment ID: I20181117000385 |
| Provider Name | Connie D Rabideaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316570823 PECOS PAC ID: 6002245016 Enrollment ID: I20200326000926 |
| Provider Name | Miranda Stenstrup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609520618 PECOS PAC ID: 8628447307 Enrollment ID: I20221220002092 |
| Provider Name | Deborah Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083375547 PECOS PAC ID: 8527438142 Enrollment ID: I20221222002492 |
| Provider Name | Ina Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043936875 PECOS PAC ID: 6204201411 Enrollment ID: I20230331000268 |
| Provider Name | Katie Elizabeth Beeman Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033552146 PECOS PAC ID: 5991065260 Enrollment ID: I20240122000390 |
| Provider Name | Richard Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760195903 PECOS PAC ID: 7719339167 Enrollment ID: I20240122001386 |
| Provider Name | Stephanie M Leahy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689286163 PECOS PAC ID: 6709238157 Enrollment ID: I20240122001458 |
| Provider Name | Aurora Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003545245 PECOS PAC ID: 2668825688 Enrollment ID: I20240125004286 |
| Provider Name | Lisa Marie Fedora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023174638 PECOS PAC ID: 4789022112 Enrollment ID: I20240404002207 |
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