Willow Pathways Therapeutic Services Llc | |
881 Madison Ave Mankato MN 56001-6139 | |
(507) 225-0450 | |
(507) 779-7182 |
Full Name | Willow Pathways Therapeutic Services Llc |
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Speciality | Counselor |
Location | 881 Madison Ave, Mankato, Minnesota |
Authorized Official Name and Position | Rebecca E Mccabe (FOUNDER AND PARTNER) |
Authorized Official Contact | 5072250450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Willow Pathways Therapeutic Services Llc 881 Madison Ave Mankato MN 56001-6139 Ph: (507) 225-0450 | Willow Pathways Therapeutic Services Llc 881 Madison Ave Mankato MN 56001-6139 Ph: (507) 225-0450 |
NPI Number | 1124765383 |
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Provider Enumeration Date | 05/18/2022 |
Last Update Date | 08/01/2023 |
Certification Date | 06/13/2023 |
Medicare PECOS PAC ID | 7810365012 |
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Medicare Enrollment ID | O20221118002087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124765383 | NPI | - | NPPES |
1124765383 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Marcia Stapleton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124028253 PECOS PAC ID: 2466552674 Enrollment ID: I20070717000167 |
Provider Name | Rebecca E Mccabe |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245778083 PECOS PAC ID: 8729456926 Enrollment ID: I20231229000585 |
Provider Name | Jane Joanne Ek |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457981326 PECOS PAC ID: 9638547839 Enrollment ID: I20240116003636 |
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