| Moorhead Counseling Pllc | |
|
1500 30th Ave S Ste C Moorhead MN 56560-5146 | |
| (218) 451-3614 | |
| Not Available |
| Full Name | Moorhead Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1500 30th Ave S Ste C, Moorhead, Minnesota |
| Authorized Official Name and Position | Natasha Braseth (OWNER) |
| Authorized Official Contact | 2184513614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moorhead Counseling Pllc 1500 30th Ave S Ste C Moorhead MN 56560-5146 Ph: () - | Moorhead Counseling Pllc 1500 30th Ave S Ste C Moorhead MN 56560-5146 Ph: (218) 451-3614 |
| NPI Number | 1679110969 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Medicare PECOS PAC ID | 1052745858 |
|---|---|
| Medicare Enrollment ID | O20200103000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679110969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Natasha Deett Braseth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477740918 PECOS PAC ID: 5991063208 Enrollment ID: I20180809001150 |
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