| Phoenix Healing Center Llc | |
|
1812 2nd St Sw Suite F Rochester MN 55902-4127 | |
| (507) 322-0222 | |
| (507) 322-0223 |
| Full Name | Phoenix Healing Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1812 2nd St Sw, Rochester, Minnesota |
| Authorized Official Name and Position | Kathleen Francette Flugel Colle (PMH-CNS, APRN-BC) |
| Authorized Official Contact | 5074212737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Healing Center Llc 1812 2nd St Sw Suite F Rochester MN 55902-4127 Ph: (507) 322-0222 | Phoenix Healing Center Llc 1812 2nd St Sw Suite F Rochester MN 55902-4127 Ph: (507) 322-0222 |
| NPI Number | 1972059806 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 4284922477 |
|---|---|
| Medicare Enrollment ID | O20161004000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972059806 | NPI | - | NPPES |
| 890000607 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | R 121129-6 (Minnesota) | Primary |
| Provider Name | Kathleen F Flugel Colle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679871586 PECOS PAC ID: 3173709235 Enrollment ID: I20110525000672 |
Onward Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 First Avenue Nw, Suite 210, Rochester, MN 55901 Phone: 507-273-2034 Fax: 507-424-1052 | |
Christian Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 | |
Bluestem Center For Child And Family Development, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 Elton Hills Ln Nw, Rochester, MN 55901 Phone: 507-282-1009 | |
Mariposa Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Elton Hills Dr, Rochester, MN 55901 Phone: 507-424-4016 Fax: 507-424-4017 | |
Ken Wadum, Ed.d. Lp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902 Phone: 507-280-0225 | |
Amar Wellness Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6556 Clarkia Dr Nw, Rochester, MN 55901 Phone: 507-289-0385 | |
New Leaf Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 1/2 7th St Nw Ste 208, Rochester, MN 55901 Phone: 507-200-0224 |