Karlie Anne Hall, LADC | |
101 21st St Se Ste 1, Austin, MN 55912-4322 | |
(507) 437-6389 | |
(507) 437-0977 |
Full Name | Karlie Anne Hall |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 101 21st St Se Ste 1, Austin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336957075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 307096 (Minnesota) | Primary |
Entity Name | Independent Management Services Of Mn, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255472957 PECOS PAC ID: 1658674775 Enrollment ID: O20160125000954 |
Mailing Address | Practice Location Address |
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Karlie Anne Hall, LADC 101 21st St Se Ste 1, Austin, MN 55912-4322 Ph: (507) 437-6389 | Karlie Anne Hall, LADC 101 21st St Se Ste 1, Austin, MN 55912-4322 Ph: (507) 437-6389 |
Karen Lynn Wolf, M.S., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 28th St Ne, Austin, MN 55912 Phone: 507-589-0366 | |
Katherine Susan Zimmerman, LICSW, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-433-7351 | |
Jordan Rose Leonhardt, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 28th St Ne, Austin, MN 55912 Phone: 507-434-4366 Fax: 507-433-7868 | |
Mrs. Kristin Kaye Danielson, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 28th St Ne, Austin, MN 55912 Phone: 507-434-4387 Fax: 507-433-7868 | |
John Edward Wittkopp, BA LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 1st Dr Nw, Austin, MN 55912 Phone: 507-434-1928 Fax: 507-434-1927 | |
Ms. Tayylor Michelle Anderson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 21st St Se Ste 1, Austin, MN 55912 Phone: 507-437-6389 Fax: 507-437-0977 | |
Olivia Johnson, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 3rd Ave Se, Austin, MN 55912 Phone: 507-440-7983 |