| September Aurora Prushek, | |
|
13782 Bluestem Ct Ste 100, Baxter, MN 56425-8768 | |
| (218) 833-9107 | |
| Not Available |
| Full Name | September Aurora Prushek |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 13782 Bluestem Ct Ste 100, Baxter, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821711672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874 |
| Mailing Address | Practice Location Address |
|---|---|
| September Aurora Prushek, 23684 County Road 4 # Cabin5, Nisswa, MN 56468-2230 Ph: (218) 838-2043 | September Aurora Prushek, 13782 Bluestem Ct Ste 100, Baxter, MN 56425-8768 Ph: (218) 833-9107 |
Evonne Sirois, MSW, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Bridget Rae Crabtree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Excelsior Road, Baxter, MN 56425 Phone: 218-454-0878 Fax: 218-454-0879 | |
Kathryn Moser, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Alissa Sladek, MSW, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Jenal Brant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Alesha Ketter, M.S., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Mrs. Seraphine Aker, MS Counselor Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 |