| Lisa Perlock, LPCC | |
|
4660 Slater Rd Ste 120, Eagan, MN 55122-4048 | |
| (952) 388-5893 | |
| (612) 246-3682 |
| Full Name | Lisa Perlock |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4660 Slater Rd Ste 120, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417386764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC00660 (Minnesota) | Primary |
| Entity Name | Midwest Center For Personal & Family Development, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Perlock, LPCC 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306-4501 Ph: (952) 435-8814 | Lisa Perlock, LPCC 4660 Slater Rd Ste 120, Eagan, MN 55122-4048 Ph: (952) 388-5893 |
Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897 | |
Matthew Steven Carlson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-315-5274 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Katherine Ann Mcguire, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 |