|
| |
|
2351 Connecticut Ave S Ste 105 Sartell MN 56377-2479 | |
| (320) 316-0288 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2351 Connecticut Ave S Ste 105, Sartell, Minnesota |
| Authorized Official Name and Position | Pamela Becker (PROVIDER/THERAPIST) |
| Authorized Official Contact | 3202827445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
811 1st Ave N Sartell MN 56377-1437 Ph: (320) 282-7445 | 2351 Connecticut Ave S Ste 105 Sartell MN 56377-2479 Ph: (320) 316-0288 |
| NPI Number | 1407360928 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Medicare PECOS PAC ID | 7214472067 |
|---|---|
| Medicare Enrollment ID | O20240716004389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407360928 | NPI | - | NPPES |
| 1073761631 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1963 (Minnesota) | Primary |
| Provider Name | Pamela Doreen Becker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073761631 PECOS PAC ID: 8123563970 Enrollment ID: I20240716004570 |
Pinecone Family Counseling, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2385 Troop Dr., Suite 202, Sartell, MN 56377 Phone: 320-253-2385 Fax: 320-253-2386 | |
Foundations Autism Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 Kruchten Ct S, Sartell, MN 56377 Phone: 320-290-0693 | |
Mindful Healing & Training Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 15th Street South, Sartell, MN 56377 Phone: 320-493-7210 | |
Lakeside Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2330 Troop Dr Unit 101, Sartell, MN 56377 Phone: 320-296-1592 Fax: 320-640-3029 |