| Prairie Family Counseling, Llc | |
|
210 20th St S New Ulm MN 56073 | |
| (507) 766-7685 | |
| (507) 216-6600 |
| Full Name | Prairie Family Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 210 20th St S, New Ulm, Minnesota |
| Authorized Official Name and Position | Christopher Brys Davis (OWNER/THERAPIST) |
| Authorized Official Contact | 5077667685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Family Counseling, Llc Po Box 743 New Ulm MN 56073-2223 Ph: (507) 766-7685 | Prairie Family Counseling, Llc 210 20th St S New Ulm MN 56073 Ph: (507) 766-7685 |
| NPI Number | 1952841413 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952841413 | NPI | - | NPPES |
| 802944000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17460 (Minnesota) | Primary |
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