Beacon Of Strength Mental Health Services, Llc | |
205 W 2nd St Duluth MN 55802-1928 | |
(218) 461-2118 | |
Not Available |
Full Name | Beacon Of Strength Mental Health Services, Llc |
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Speciality | Community/Behavioral Health |
Location | 205 W 2nd St, Duluth, Minnesota |
Authorized Official Name and Position | Donna R Olsen (OWNER) |
Authorized Official Contact | 2184612118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beacon Of Strength Mental Health Services, Llc 205 W 2nd St Duluth MN 55802-1928 Ph: (218) 461-2118 | Beacon Of Strength Mental Health Services, Llc 205 W 2nd St Duluth MN 55802-1928 Ph: (218) 461-2118 |
NPI Number | 1891418406 |
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Provider Enumeration Date | 09/20/2022 |
Last Update Date | 06/06/2024 |
Certification Date | 06/06/2024 |
Medicare PECOS PAC ID | 1557892692 |
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Medicare Enrollment ID | O20241001001190 |
Identifier | Type | State | Issuer |
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1891418406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Nathaniel W Hurse |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699034975 PECOS PAC ID: 6507284718 Enrollment ID: I20241001001292 |
Provider Name | Donna Rose Olsen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902546047 PECOS PAC ID: 5193256238 Enrollment ID: I20241113002942 |
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