| Therapy Services With Shelley, Pllc | |
|
820 4th St S Moorhead MN 56560-3322 | |
| (218) 329-6294 | |
| Not Available |
| Full Name | Therapy Services With Shelley, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 820 4th St S, Moorhead, Minnesota |
| Authorized Official Name and Position | Michelle Dahl Monroe (OWNER/THERAPIST) |
| Authorized Official Contact | 2183296294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Services With Shelley, Pllc 820 4th St S Moorhead MN 56560-3322 Ph: () - | Therapy Services With Shelley, Pllc 820 4th St S Moorhead MN 56560-3322 Ph: (218) 329-6294 |
| NPI Number | 1659806495 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 5294067104 |
|---|---|
| Medicare Enrollment ID | O20191025001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659806495 | NPI | - | NPPES |
| Provider Name | Tamara M Madler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053474411 PECOS PAC ID: 0648162024 Enrollment ID: I20040329001428 |
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