Ms Sara Eby, MA, LPCC | |
16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228 | |
(952) 443-4600 | |
(952) 443-4604 |
Full Name | Ms Sara Eby |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 16180 Hastings Ave Se Ste 205, Prior Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598082307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 1065 (Minnesota) | Primary |
Entity Name | Affinity Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
Mailing Address | Practice Location Address |
---|---|
Ms Sara Eby, MA, LPCC Po Box 51, Victoria, MN 55386-0051 Ph: (952) 443-4600 | Ms Sara Eby, MA, LPCC 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228 Ph: (952) 443-4600 |
Dennis Nelson, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6164 | |
Rachel Grantham, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6164 | |
Wade Keller, MA, LAMFT Counselor Medicare: Medicare Enrolled Practice Location: 15852 Pennsylvania Ave, Prior Lake, MN 55372 Phone: 612-991-2937 | |
Kristy Dunham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2860 179th St E, Prior Lake, MN 55372 Phone: 952-594-0307 | |
Emily Lyn Schroeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3733 Fox Tail Trl Nw, Prior Lake, MN 55372 Phone: 507-350-2120 | |
Annmarie Sowieja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5840 Crossandra St Se, Prior Lake, MN 55372 Phone: 612-270-0882 | |
Erinn Kroeger, LADC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4769 Dakota St Se, Suite 2, Prior Lake, MN 55372 Phone: 952-447-4344 Fax: 952-447-4346 |