| Prairie Winds Counseling, Inc. | |
|
104 W Redwood St Marshall MN 56258-1980 | |
| (507) 944-1557 | |
| (507) 607-8717 |
| Full Name | Prairie Winds Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 104 W Redwood St, Marshall, Minnesota |
| Authorized Official Name and Position | Judith Ann Elling Przybilla (CEO / THERAPIST) |
| Authorized Official Contact | 5079441557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Winds Counseling, Inc. 2257 110th St Balaton MN 56115-3120 Ph: (507) 944-1557 | Prairie Winds Counseling, Inc. 104 W Redwood St Marshall MN 56258-1980 Ph: (507) 944-1557 |
| NPI Number | 1255116331 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 7012367535 |
|---|---|
| Medicare Enrollment ID | O20231226001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255116331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith Ann Elling Przybilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285334664 PECOS PAC ID: 9830549351 Enrollment ID: I20231226001528 |
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