| White Earth Education Division Children's Services | |
|
35233 Mission Lake Road White Earth MN 56591 | |
| (218) 983-4180 | |
| (218) 983-3767 |
| Full Name | White Earth Education Division Children's Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 35233 Mission Lake Road, White Earth, Minnesota |
| Authorized Official Name and Position | Joan Lavoy (EDUCATION DIRECTOR) |
| Authorized Official Contact | 2189833285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Earth Education Division Children's Services Po Box 418 White Earth MN 56591-0418 Ph: (218) 983-3285 | White Earth Education Division Children's Services 35233 Mission Lake Road White Earth MN 56591 Ph: (218) 983-4180 |
| NPI Number | 1033597216 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033597216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0504 (Minnesota) | Primary |
White Earth Mat Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26246 Crane Rd, White Earth, MN 56591 Phone: 218-983-3285 Fax: 218-983-4343 | |
White Earth Tribal Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35686 County Hwy 21, White Earth, MN 56591 Phone: 218-983-3285 Fax: 218-983-4236 |