| Nathan Mccormick, | |
|
1833 3rd Ave, Anoka, MN 55303-2424 | |
| (763) 234-1122 | |
| Not Available |
| Full Name | Nathan Mccormick |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1833 3rd Ave, Anoka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306511464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 02882 (Minnesota) | Primary |
| Entity Name | Family Innovations Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Mccormick, 15172 Uplander St Nw, Andover, MN 55304-2659 Ph: () - | Nathan Mccormick, 1833 3rd Ave, Anoka, MN 55303-2424 Ph: (763) 234-1122 |
Jason Eugene Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Greenhaven Rd Ste 204, Anoka, MN 55303 Phone: 763-203-3164 Fax: 651-925-0524 | |
Phakouew Yachai Yang, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 612-924-3807 | |
Lilliana Floryce Jorgens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 612-924-3807 | |
Nicole Zlate, MA, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 2006 1st Ave Ste 201, Anoka, MN 55303 Phone: 763-647-8188 | |
Mrs. May Yia Lee Moua, LPCC, (PRE-LICENSED) Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 Van Buren St Ste 4b, Anoka, MN 55303 Phone: 763-308-5125 | |
Jenelle Pangborn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 763-421-5535 | |
Bethany Ruth Glines, M.A., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1833 3rd Ave, Anoka, MN 55303 Phone: 763-421-5535 Fax: 763-433-0226 |