| Elyse Robinson, MA, LADC | |
|
6375 W 143rd St, Savage, MN 55378-2888 | |
| (952) 592-2200 | |
| Not Available |
| Full Name | Elyse Robinson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6375 W 143rd St, Savage, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376233445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305988 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | CC04188 (Minnesota) | Primary |
| Entity Name | Iris Mental Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023528213 PECOS PAC ID: 2365895844 Enrollment ID: O20240131003953 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse Robinson, MA, LADC 416 Interlachen Ln, Burnsville, MN 55306-6410 Ph: (515) 669-9100 | Elyse Robinson, MA, LADC 6375 W 143rd St, Savage, MN 55378-2888 Ph: (952) 592-2200 |
Marya M Johanneson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6001 Egan Dr Ste 197, Savage, MN 55378 Phone: 952-592-2200 | |
Kai Taylor Mason, MA, LADC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 8640 Eagle Creek Cir, Savage, MN 55378 Phone: 952-746-7664 | |
Emily Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7575 150th St W, Savage, MN 55378 Phone: 952-226-8791 | |
Lauren Elizabeth Dalum Brown, MA Counselor Medicare: Medicare Enrolled Practice Location: 8640 Eagle Creek Cir, Savage, MN 55378 Phone: 952-746-7664 | |
Mr. Daniel Sweeney Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7675 Highway 13 W, Savage, MN 55378 Phone: 952-447-4344 | |
Ann Marie Conrad, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 8640 Eagle Creek Circle, Savage, MN 55378 Phone: 952-746-7664 Fax: 952-746-0582 | |
Betty Jean Rainwater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8646 Eagle Creek Cir Ste 213, Savage, MN 55378 Phone: 952-583-1055 |