| River Walk Counseling, Inc. | |
|
225 W Lincoln Ave Suite 104 Fergus Falls MN 56537 | |
| (218) 531-1424 | |
| (218) 531-1420 |
| Full Name | River Walk Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 225 W Lincoln Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Melissa Dawn Gedrose (OWNER) |
| Authorized Official Contact | 2185311424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Walk Counseling, Inc. 225 W Lincoln Ave Suite 104 Fergus Falls MN 56537 Ph: (218) 531-1424 | River Walk Counseling, Inc. 225 W Lincoln Ave Suite 104 Fergus Falls MN 56537 Ph: (218) 531-1424 |
| NPI Number | 1962175943 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Medicare PECOS PAC ID | 1759763725 |
|---|---|
| Medicare Enrollment ID | O20220808001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962175943 | NPI | - | NPPES |
| Provider Name | Melissa D Gedrose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989865 PECOS PAC ID: 8921360967 Enrollment ID: I20180403000007 |
| Provider Name | Megan Sue Kampstra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144989492 PECOS PAC ID: 7012399082 Enrollment ID: I20240104001913 |
| Provider Name | Jeanne G Grenvik |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144516360 PECOS PAC ID: 6204218274 Enrollment ID: I20240104003499 |
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