Branden Smith, | |
1041 Hawk St, Detroit Lakes, MN 56501-6958 | |
(218) 844-6853 | |
Not Available |
Full Name | Branden Smith |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1041 Hawk St, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861063430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 4337 (Minnesota) | Primary |
Entity Name | Solutions Behavioral Healthcare Professionals Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801909239 PECOS PAC ID: 0345209524 Enrollment ID: O20060125000959 |
Mailing Address | Practice Location Address |
---|---|
Branden Smith, 113 Minnesota Ave, Detroit Lakes, MN 56501-2420 Ph: (218) 849-9810 | Branden Smith, 1041 Hawk St, Detroit Lakes, MN 56501-6958 Ph: (218) 844-6853 |
Whitney Kaytlin Warren, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9729 Fax: 218-844-7754 | |
Angela D Horner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-4491 | |
Mrs. Erica Yvonne Hanson, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 211 Holmes St W Ste 302, Detroit Lakes, MN 56501 Phone: 218-847-0629 | |
Lola Marie Booth, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9730 | |
Colton John Friesen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 928 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-1676 | |
Jessica Rae Moench, LADC, OWNER/DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 8th St Se Ste A, Detroit Lakes, MN 56501 Phone: 218-847-0696 Fax: 218-847-4198 | |
Krystal Marie Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28579 Us Highway 10, Detroit Lakes, MN 56501 Phone: 218-847-1329 |