| Katie Allen Therapy Services, Pllc | |
|
4200 James Ray Dr Grand Forks ND 58202-6090 | |
| (701) 535-0159 | |
| Not Available |
| Full Name | Katie Allen Therapy Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4200 James Ray Dr, Grand Forks, North Dakota |
| Authorized Official Name and Position | Katie Allen (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 7013142300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Allen Therapy Services, Pllc 4200 James Ray Dr Grand Forks ND 58202-6090 Ph: (701) 314-2300 | Katie Allen Therapy Services, Pllc 4200 James Ray Dr Grand Forks ND 58202-6090 Ph: (701) 535-0159 |
| NPI Number | 1669104865 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 9537542923 |
|---|---|
| Medicare Enrollment ID | O20231023000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669104865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katie M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720435175 PECOS PAC ID: 5890085542 Enrollment ID: I20160608001154 |
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