| Connect Us Therapy | |
|
2224 1st Ave W Ste 4 Williston ND 58801-6286 | |
| (701) 572-3335 | |
| (701) 572-3337 |
| Full Name | Connect Us Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 2224 1st Ave W Ste 4, Williston, North Dakota |
| Authorized Official Name and Position | Katie Brianne Shannon (OWNER) |
| Authorized Official Contact | 7015723335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Us Therapy 2224 1st Ave W Ste 4 Williston ND 58801-6286 Ph: (701) 572-3335 | Connect Us Therapy 2224 1st Ave W Ste 4 Williston ND 58801-6286 Ph: (701) 572-3335 |
| NPI Number | 1265091235 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Medicare PECOS PAC ID | 2062802457 |
|---|---|
| Medicare Enrollment ID | O20211129000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265091235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483755 PECOS PAC ID: 5890082630 Enrollment ID: I20160922001654 |
| Provider Name | Brittany A Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437739349 PECOS PAC ID: 0143610543 Enrollment ID: I20211129000937 |
| Provider Name | Mckenzie Larae Moor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205230950 PECOS PAC ID: 4688064058 Enrollment ID: I20211130000849 |
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