| Brian Thorsen Stevens, MA, LPCC | |
|
17633 Evener Way, Eden Prairie, MN 55346-4263 | |
| (218) 316-1668 | |
| Not Available |
| Full Name | Brian Thorsen Stevens |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 17633 Evener Way, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194430934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 700 (Minnesota) | Primary |
| Entity Name | Ellie Family Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Thorsen Stevens, MA, LPCC 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110-3618 Ph: () - | Brian Thorsen Stevens, MA, LPCC 17633 Evener Way, Eden Prairie, MN 55346-4263 Ph: (218) 316-1668 |
Julia Louise Waligora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16151 Hilltop Rd, Eden Prairie, MN 55347 Phone: 262-339-4459 | |
Aaron Leander Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7525 Mitchell Rd, Eden Prairie, MN 55344 Phone: 952-224-2282 Fax: 952-224-2284 | |
Peter Joseph Dorsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Chestnut Drive, Eden Prairie, MN 55347 Phone: 612-226-3106 | |
Mr. Richard Arthur Rittmaster, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6640 Shady Oak Rd Ste 451, Eden Prairie, MN 55344 Phone: 952-746-2522 Fax: 952-746-0887 | |
Claire Rosen, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Prairie Center Dr Ste 210, Eden Prairie, MN 55344 Phone: 952-234-9210 | |
Mrs. Susan Elizabeth Zaugg, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 | |
Josi Wylynn Carter, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 |