| Imagine Mental Health Counseling | |
|
116 Ash Ave Nw Suite 2 Wadena MN 56482-1347 | |
| (218) 640-7368 | |
| Not Available |
| Full Name | Imagine Mental Health Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 116 Ash Ave Nw, Wadena, Minnesota |
| Authorized Official Name and Position | Shari Lynn Phillips (OWNER/COUNSELOR) |
| Authorized Official Contact | 2186407368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Mental Health Counseling 310 3rd St Nw Wadena MN 56482-1118 Ph: (218) 640-7368 | Imagine Mental Health Counseling 116 Ash Ave Nw Suite 2 Wadena MN 56482-1347 Ph: (218) 640-7368 |
| NPI Number | 1023691896 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023691896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Neighborhood Counseling Center Of Wadena, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Wadena, MN 56482 Phone: 218-631-1714 |