| Kelsey Woodford, | |
|
Po Box 686, Luverne, MN 56156-0686 | |
| (507) 376-4141 | |
| (507) 283-9514 |
| Full Name | Kelsey Woodford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | Po Box 686, Luverne, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639921620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC04371 (Minnesota) | Primary |
| Entity Name | Southwestern Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487654562 PECOS PAC ID: 7012816812 Enrollment ID: O20031231000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Woodford, Po Box 686, Luverne, MN 56156-0686 Ph: (507) 376-4141 | Kelsey Woodford, Po Box 686, Luverne, MN 56156-0686 Ph: (507) 376-4141 |
Shawna Marshall, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 118 W Main St, Luverne, MN 56156 Phone: 507-449-6105 Fax: 507-449-6106 | |
Jill Boltjes, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 215 N Cedar St, Luverne, MN 56156 Phone: 507-449-6144 Fax: 507-449-6145 | |
Erica Sue Hough, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 118 W Main St, Luverne, MN 56156 Phone: 507-449-6105 Fax: 507-449-6106 | |
Ms. Devin Lynn Thorson, MS, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Main St, Luverne, MN 56156 Phone: 507-449-6105 Fax: 507-449-6106 | |
Skie C Peltier-anderson, LPCC, LMHP, LPC-MH Counselor Medicare: Medicare Enrolled Practice Location: 215 N Cedar St Ste B, Luverne, MN 56156 Phone: 507-920-9170 | |
Rachal Noell, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Main St, Luverne, MN 56156 Phone: 507-449-6105 Fax: 507-449-6106 |