| Lifeseasons Professional Counseling,llc | |
|
1804 Trott Ave Nw Willmar MN 56201 | |
| (320) 235-4900 | |
| (320) 235-1830 |
| Full Name | Lifeseasons Professional Counseling,llc |
|---|---|
| Speciality | Social Worker |
| Location | 1804 Trott Ave Nw, Willmar, Minnesota |
| Authorized Official Name and Position | Brenda Hubers (OWNER) |
| Authorized Official Contact | 3202354900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeseasons Professional Counseling,llc 1416 Gorton Ave Nw Willmar MN 56201-2459 Ph: () - | Lifeseasons Professional Counseling,llc 1804 Trott Ave Nw Willmar MN 56201 Ph: (320) 235-4900 |
| NPI Number | 1952518219 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 1658478524 |
|---|---|
| Medicare Enrollment ID | O20070530000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952518219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9533 (Minnesota) | Primary |
| Provider Name | Brenda J Hubers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033245394 PECOS PAC ID: 0244279727 Enrollment ID: I20050426000305 |
| Provider Name | Barbara J Zaeska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578574323 PECOS PAC ID: 6608895008 Enrollment ID: I20051115000693 |
| Provider Name | Laura B Weatherby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770664781 PECOS PAC ID: 7618977232 Enrollment ID: I20070105000095 |
| Provider Name | Mary Ann Schorn-rhoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417010257 PECOS PAC ID: 0941303002 Enrollment ID: I20070309000158 |
| Provider Name | Kristy S Hommerding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144642745 PECOS PAC ID: 5890133995 Enrollment ID: I20240409003086 |
| Provider Name | Rebecca L Schmitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578337663 PECOS PAC ID: 5698114494 Enrollment ID: I20240412001726 |
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