| Willow Creek Counseling Llc | |
|
17 Ash Street New London MN 56273 | |
| (651) 356-2458 | |
| Not Available |
| Full Name | Willow Creek Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Ash Street, New London, Minnesota |
| Authorized Official Name and Position | Claudette M Larson (OWNER/PARTNER) |
| Authorized Official Contact | 6513562458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Counseling Llc 24050 40th St Ne New London MN 56273-9699 Ph: (651) 356-2458 | Willow Creek Counseling Llc 17 Ash Street New London MN 56273 Ph: (651) 356-2458 |
| NPI Number | 1538612239 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 6204115322 |
|---|---|
| Medicare Enrollment ID | O20161114000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538612239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16765 (Minnesota) | Primary |
| Provider Name | Claudette M Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306984497 PECOS PAC ID: 2769589886 Enrollment ID: I20070523000632 |
| Provider Name | Kristin A Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801342696 PECOS PAC ID: 6103105226 Enrollment ID: I20161114000999 |
Center For Resilience Strategies Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Main St S Ste 1, New London, MN 56273 Phone: 720-647-8500 |