Family Circle Counseling Pllc | |
348 Prior Ave N Saint Paul MN 55104-5187 | |
(651) 646-1488 | |
(651) 646-2285 |
Full Name | Family Circle Counseling Pllc |
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Speciality | Social Worker |
Location | 348 Prior Ave N, Saint Paul, Minnesota |
Authorized Official Name and Position | Krista Maria Nelson (CHIEF MANAGING OFFICER) |
Authorized Official Contact | 6516461488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Circle Counseling Pllc 348 Prior Ave N Saint Paul MN 55104-5187 Ph: (651) 646-1488 | Family Circle Counseling Pllc 348 Prior Ave N Saint Paul MN 55104-5187 Ph: (651) 646-1488 |
NPI Number | 1912098070 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4183624505 |
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Medicare Enrollment ID | O20070110000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912098070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 03599 (Minnesota) | Primary |
Provider Name | Cheri L Brady |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902141526 PECOS PAC ID: 0648244020 Enrollment ID: I20040823000157 |
Provider Name | Krista M Nelson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760579734 PECOS PAC ID: 8325085210 Enrollment ID: I20050412001144 |
Provider Name | Phoenix X Schmitz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841484458 PECOS PAC ID: 9032259122 Enrollment ID: I20091222000102 |
Provider Name | Wendy L Baker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265568257 PECOS PAC ID: 5698089050 Enrollment ID: I20150915002767 |
Provider Name | Dana W Turman |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1952442766 PECOS PAC ID: 6305283649 Enrollment ID: I20240322001728 |
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