| One Hope Counseling, Pllc | |
|
625 Broadway St Ste 102 Alexandria MN 56308-1664 | |
| (320) 808-3070 | |
| (320) 763-7500 |
| Full Name | One Hope Counseling, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 625 Broadway St Ste 102, Alexandria, Minnesota |
| Authorized Official Name and Position | Kathryn Lichty (OWNER/THERAPIST) |
| Authorized Official Contact | 3208083070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope Counseling, Pllc 625 Broadway St Ste 102 Alexandria MN 56308-1664 Ph: (320) 808-3070 | One Hope Counseling, Pllc 625 Broadway St Ste 102 Alexandria MN 56308-1664 Ph: (320) 808-3070 |
| NPI Number | 1194459834 |
|---|---|
| Provider Enumeration Date | 07/09/2022 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 8325411994 |
|---|---|
| Medicare Enrollment ID | O20230301001329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194459834 | NPI | - | NPPES |
| 1477830263 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn A Lichty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477830263 PECOS PAC ID: 1153588827 Enrollment ID: I20120208000217 |
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