| Adult, Child & Family Services, Llc | |
|
730 S Front St Mankato MN 56001-3803 | |
| (507) 387-3777 | |
| (507) 344-1726 |
| Full Name | Adult, Child & Family Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 730 S Front St, Mankato, Minnesota |
| Authorized Official Name and Position | Paul Gronneberg (PARTNER) |
| Authorized Official Contact | 5073873777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult, Child & Family Services, Llc 730 S Front St Mankato MN 56001-3803 Ph: (507) 387-3777 | Adult, Child & Family Services, Llc 730 S Front St Mankato MN 56001-3803 Ph: (507) 387-3777 |
| NPI Number | 1902806045 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3476653684 |
|---|---|
| Medicare Enrollment ID | O20070717000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902806045 | NPI | - | NPPES |
| 39P46AD | Other | MN | BLUE CROSS BLUE SHIELD |
| 08D47AD | Other | MN | BLUE CROSS BLUE SHIELD |
| 131689 | Other | MN | UCARE |
| 64Q88AD | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Minnesota) | Primary |
| Provider Name | Aaron T Oie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477966455 PECOS PAC ID: 4981991361 Enrollment ID: I20170329000202 |
| Provider Name | Erika A Sletten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053811901 PECOS PAC ID: 0042574451 Enrollment ID: I20180511001738 |
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