| Emily Rudert, | |
|
5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | |
| (608) 738-8356 | |
| Not Available |
| Full Name | Emily Rudert |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 12 Years |
| Location | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740703461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West End Therapy Clinic Llc | 7113361916 | 6 |
| Entity Name | West End Therapy Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407332547 PECOS PAC ID: 7113361916 Enrollment ID: O20240220004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Rudert, 5407 Excelsior Blvd Ste Ab&e, St Louis Park, MN 55416-2929 Ph: () - | Emily Rudert, 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 Ph: (608) 738-8356 |
Siciid Shire Ali, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 Park Glen Rd, St. Louis Park, MN 55416 Phone: 952-888-7055 Fax: 612-605-3312 | |
Makenna Nosbusch, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6726 Walker Street, St. Louis Park, MN 55426 Phone: 612-444-1520 Fax: 612-416-3151 | |
Julie Madsen, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5861 Cedar Lake Road, St. Louis Park, MN 55416 Phone: 612-202-8703 | |
Ms. Laine Cecily Hartwell Bermansohn, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 5354 Parkdale Drive, 2nd Floor, St. Louis Park, MN 55416 Phone: 651-645-5323 Fax: 952-746-5962 |