| Flick Consultation Group Pllc | |
|
231 S Main St Pine Island MN 55963-7659 | |
| (507) 356-2184 | |
| (507) 356-2185 |
| Full Name | Flick Consultation Group Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 231 S Main St, Pine Island, Minnesota |
| Authorized Official Name and Position | Brian Kenneth Flick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5073562184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flick Consultation Group Pllc Po Box 366 Pine Island MN 55963-0366 Ph: (507) 356-2184 | Flick Consultation Group Pllc 231 S Main St Pine Island MN 55963-7659 Ph: (507) 356-2184 |
| NPI Number | 1821615147 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 8325465263 |
|---|---|
| Medicare Enrollment ID | O20200824003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821615147 | NPI | - | NPPES |
| 14676192 | Other | CAQH | |
| 6843956 | Other | MN | MN TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brian Flick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891248027 PECOS PAC ID: 6800180282 Enrollment ID: I20160808001686 |
Driftless Therapy Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2021 8th St Se, Pine Island, MN 55963 Phone: 507-722-0744 |