| Melodie Illies, | |
|
16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 | |
| (763) 746-9492 | |
| Not Available |
| Full Name | Melodie Illies |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 16201 90th St Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952662611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2447 (Minnesota) | Primary |
| Entity Name | Parker Collins Family Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487927067 PECOS PAC ID: 8325338031 Enrollment ID: O20160609000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Melodie Illies, 1900 Silver Lake Rd Nw, Suite110, New Brighton, MN 55112-1786 Ph: () - | Melodie Illies, 16201 90th St Ne, Suite 200, Otsego, MN 55330-7463 Ph: (763) 746-9492 |
Jennifer Lynn Geryol, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-703-6962 Fax: 651-925-0071 | |
Jane Pollock Johnson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Lisa Anne Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9245 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 | |
Barbara B Cuppett, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Otsego, MN 55330 Phone: 763-633-3800 Fax: 763-633-3808 | |
Allison C Benz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9000 Quantrelle Ave Ne, Ste 102, Otsego, MN 55330 Phone: 612-217-4241 Fax: 612-239-0141 | |
Leah Corder, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330 Phone: 763-309-1005 Fax: 651-222-9727 | |
John William Eskola, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9075 Quaday Ave Ne, Suite 102, Otsego, MN 55330 Phone: 763-746-9492 Fax: 763-746-3685 |