| North Counseling, Llc | |
|
100 Warren St Ste 345 Mankato MN 56001-3762 | |
| (507) 227-4858 | |
| Not Available |
| Full Name | North Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Warren St Ste 345, Mankato, Minnesota |
| Authorized Official Name and Position | Lacy Osborne (OWNER) |
| Authorized Official Contact | 5072274858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Counseling, Llc 20335 State Highway 22 Mankato MN 56001-7901 Ph: (507) 227-4858 | North Counseling, Llc 100 Warren St Ste 345 Mankato MN 56001-3762 Ph: (507) 227-4858 |
| NPI Number | 1972217636 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 0840665774 |
|---|---|
| Medicare Enrollment ID | O20230406002706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972217636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jodi A Egeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619961216 PECOS PAC ID: 3779481940 Enrollment ID: I20031229000276 |
| Provider Name | Lacy A Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003211400 PECOS PAC ID: 5597087130 Enrollment ID: I20141209002279 |
| Provider Name | Teryn Lea Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740832542 PECOS PAC ID: 5991176380 Enrollment ID: I20230123001143 |
| Provider Name | Danielle C Freetly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346996261 PECOS PAC ID: 2062859895 Enrollment ID: I20240328000803 |
| Provider Name | Sonja Lk Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003568189 PECOS PAC ID: 0143661884 Enrollment ID: I20240513003500 |
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