Achieving Balance Counseling, Ltd | |
100 Warren St Ste 304 Mankato MN 56001-3762 | |
(507) 420-5671 | |
Not Available |
Full Name | Achieving Balance Counseling, Ltd |
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Speciality | Social Worker |
Location | 100 Warren St Ste 304, Mankato, Minnesota |
Authorized Official Name and Position | Darcy Lee Wennes (PRESIDENT) |
Authorized Official Contact | 5074205671 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Achieving Balance Counseling, Ltd 2713 Itasca Dr Mankato MN 56001-5556 Ph: (507) 420-5671 | Achieving Balance Counseling, Ltd 100 Warren St Ste 304 Mankato MN 56001-3762 Ph: (507) 420-5671 |
NPI Number | 1932852357 |
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Provider Enumeration Date | 01/27/2022 |
Last Update Date | 09/13/2022 |
Certification Date | 09/13/2022 |
Medicare PECOS PAC ID | 0042604795 |
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Medicare Enrollment ID | O20220223002277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932852357 | NPI | - | NPPES |
1275082752 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Darcy Wennes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275082752 PECOS PAC ID: 2668750290 Enrollment ID: I20161101002469 |
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