| Lysne Consulting & Counseling | |
|
225 W Cavour Ave Ste C Fergus Falls MN 56537-2140 | |
| (218) 770-0592 | |
| (218) 998-3126 |
| Full Name | Lysne Consulting & Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 225 W Cavour Ave Ste C, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Mark Carl Lysne (PSYCHOLOGIST) |
| Authorized Official Contact | 2187700592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lysne Consulting & Counseling 225 W Cavour Ave Ste C Fergus Falls MN 56537-2140 Ph: (218) 770-0592 | Lysne Consulting & Counseling 225 W Cavour Ave Ste C Fergus Falls MN 56537-2140 Ph: (218) 770-0592 |
| NPI Number | 1104477819 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 7517383300 |
|---|---|
| Medicare Enrollment ID | O20200811001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104477819 | NPI | - | NPPES |
| 896425400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark C Lysne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366530008 PECOS PAC ID: 3173525862 Enrollment ID: I20070208000651 |
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