Amy Tichy, | |
725 Center Ave Ste 3, Moorhead, MN 56560-1972 | |
(218) 366-6162 | |
Not Available |
Full Name | Amy Tichy |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 725 Center Ave Ste 3, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649924200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | CC04852 (Minnesota) | Primary |
Entity Name | Phoenix Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861215865 PECOS PAC ID: 2264952704 Enrollment ID: O20250227000221 |
Mailing Address | Practice Location Address |
---|---|
Amy Tichy, 725 Center Ave Ste 3, Moorhead, MN 56560-1972 Ph: (218) 366-6162 | Amy Tichy, 725 Center Ave Ste 3, Moorhead, MN 56560-1972 Ph: (218) 366-6162 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Beth Louise Brantner, M.ED./LAC/LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 9th St N, Moorhead, MN 56560 Phone: 701-429-4866 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |