| Great River Act-st. Cloud | |
|
3333 W Division St Suite 217 Saint Cloud MN 56301-4515 | |
| (320) 253-4136 | |
| (320) 253-4179 |
| Full Name | Great River Act-st. Cloud |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3333 W Division St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | David J. Baraga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3202525010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Act-st. Cloud 1321 13th St N Saint Cloud MN 56303-2613 Ph: (320) 252-5010 | Great River Act-st. Cloud 3333 W Division St Suite 217 Saint Cloud MN 56301-4515 Ph: (320) 253-4136 |
| NPI Number | 1639384043 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639384043 | NPI | - | NPPES |
| 024755301 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 800356-1-MHC (Minnesota) | Primary |
Hope - Waivered Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301 Phone: 320-240-3324 Fax: 320-240-3339 | |
St. Cloud State University Medical Clinic And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 First Avenue South, Saint Cloud, MN 56301 Phone: 320-308-3191 Fax: 320-308-3192 | |
St. Cloud Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1406 6th Ave North, Saint Cloud, MN 56303 Phone: 320-307-3676 Fax: 320-656-7009 | |
Gayle Neuerburg Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Northway Dr Ste 110, Saint Cloud, MN 56303 Phone: 218-721-2982 | |
Tuorila Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Doctors Park, Saint Cloud, MN 56303 Phone: 320-253-4321 Fax: 320-281-3045 | |
St. Cloud Neurobehavioral Associates, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3812 8th St N Ste 200, Saint Cloud, MN 56303 Phone: 320-253-3833 Fax: 320-253-5741 | |
Cartwright Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1723 7th St Se, Saint Cloud, MN 56304 Phone: 612-324-1642 Fax: 612-421-0021 |