Center For Life Transitions | |
38 24th Ave N Saint Cloud MN 56303-4340 | |
(320) 746-0025 | |
Not Available |
Full Name | Center For Life Transitions |
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Speciality | Clinic/Center |
Location | 38 24th Ave N, Saint Cloud, Minnesota |
Authorized Official Name and Position | Roxann J Storms (BOARD CHAIR) |
Authorized Official Contact | 3207460025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Life Transitions 38 24th Ave N Saint Cloud MN 56303-4340 Ph: (320) 746-0025 | Center For Life Transitions 38 24th Ave N Saint Cloud MN 56303-4340 Ph: (320) 746-0025 |
NPI Number | 1285198663 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 01/30/2019 |
Medicare PECOS PAC ID | 5193150639 |
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Medicare Enrollment ID | O20200110001647 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285198663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Roxann J Storms |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730527367 PECOS PAC ID: 3779710371 Enrollment ID: I20131205000427 |
Provider Name | Janet K Fischels Wensman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760973655 PECOS PAC ID: 8224388434 Enrollment ID: I20180910002500 |
Provider Name | Shereen Lynn Anderson |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1912691064 PECOS PAC ID: 8022469113 Enrollment ID: I20240112003850 |
Provider Name | Paula Fuchs |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215469259 PECOS PAC ID: 8628412616 Enrollment ID: I20240217000807 |
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