| Lisa Van Tassell, MA, LPC | |
|
9075 Quaday Ave Ne, Suite 102, Elk River, MN 55330-6672 | |
| (763) 746-9492 | |
| Not Available |
| Full Name | Lisa Van Tassell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 9075 Quaday Ave Ne, Elk River, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659514503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC00537 (Minnesota) | Primary |
| Entity Name | Ellie Family Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Van Tassell, MA, LPC 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: () - | Lisa Van Tassell, MA, LPC 9075 Quaday Ave Ne, Suite 102, Elk River, MN 55330-6672 Ph: (763) 746-9492 |
Alyssa Catherine Wentworth, M.S., LPC Counselor Medicare: Medicare Enrolled Practice Location: 18336 Joplin St Nw, Elk River, MN 55330 Phone: 763-350-9687 | |
Sheila Ann Selinsky, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 5, Elk River, MN 55330 Phone: 763-237-3505 Fax: 763-237-3505 | |
Heather Jean Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-333-8001 | |
Tyler Antony, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381 | |
Kelly Lynn Herman, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Freeport Ave Nw Ste D, Elk River, MN 55330 Phone: 763-441-1578 | |
Mrs. Katherine Lynn Hardy-roth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-633-5111 | |
Mrs. Jade Matraca Blaser, MSW, LADC, LGSW Counselor Medicare: Medicare Enrolled Practice Location: 1230 School St Nw, Elk River, MN 55330 Phone: 763-241-3558 |