| Professional Counseling & Grief Services Inc | |
|
14985 Glazier Ave Suite 555 Apple Valley MN 55124-7484 | |
| (952) 891-2525 | |
| (952) 891-1800 |
| Full Name | Professional Counseling & Grief Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 14985 Glazier Ave, Apple Valley, Minnesota |
| Authorized Official Name and Position | Brenda J Demotte (OWNER/PROVIDER) |
| Authorized Official Contact | 9528912525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling & Grief Services Inc 14985 Glazier Ave Suite 555 Apple Valley MN 55124-7484 Ph: (952) 891-2525 | Professional Counseling & Grief Services Inc 14985 Glazier Ave Suite 555 Apple Valley MN 55124-7484 Ph: (952) 891-2525 |
| NPI Number | 1508174681 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 3577749555 |
|---|---|
| Medicare Enrollment ID | O20110510000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508174681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05559 (Minnesota) | Primary |
| Provider Name | Brenda J Demotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144307471 PECOS PAC ID: 2365628344 Enrollment ID: I20110510000332 |
Nurturing Roots, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5885 149th St W Ste 101l, Apple Valley, MN 55124 Phone: 651-650-4929 | |
Optimum Behavioral Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7635 148th St W Ste 236, Apple Valley, MN 55124 Phone: 612-405-2154 | |
Adult And Mental Health Services, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7373 147th St W, Suite 108, Apple Valley, MN 55124 Phone: 952-465-7942 | |
Tamera Mensink Tm Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7600 143rd St W Ste 300, Apple Valley, MN 55124 Phone: 651-373-9440 Fax: 866-712-6334 | |
Vida Sana Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 302, Apple Valley, MN 55124 Phone: 612-759-9529 | |
Pavlik Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15025 Glazier Ave Ste 236b, Apple Valley, MN 55124 Phone: 651-246-8895 | |
Both And Resources Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7493 147th St W, Suite 207, Apple Valley, MN 55124 Phone: 952-432-0043 Fax: 952-432-0809 |