| Alliance Mediation & Therapy, Pc | |
|
418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 | |
| (701) 751-1549 | |
| (701) 751-1549 |
| Full Name | Alliance Mediation & Therapy, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 418 E Broadway Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Stephen Huebschwerlen (SOCIAL WORKER/ THERAPIST, MEDIATOR) |
| Authorized Official Contact | 7017511549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mediation & Therapy, Pc 418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 Ph: (701) 751-1549 | Alliance Mediation & Therapy, Pc 418 E Broadway Ave Suite 216 Bismarck ND 58501-4086 Ph: (701) 751-1549 |
| NPI Number | 1922304716 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 9133378516 |
|---|---|
| Medicare Enrollment ID | O20120928000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922304716 | NPI | - | NPPES |
| 19283 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 200 (North Dakota) | Primary |
| Provider Name | Stephen Huebschwerlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528268539 PECOS PAC ID: 8921199696 Enrollment ID: I20070809000435 |
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