| Banyan Tree Counseling Pllc | |
|
215 N Cedar St Ste B Luverne MN 56156-1626 | |
| (507) 920-9170 | |
| (507) 449-6146 |
| Full Name | Banyan Tree Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 215 N Cedar St Ste B, Luverne, Minnesota |
| Authorized Official Name and Position | Skie Peltier-anderson (OWNER/THERAPIST) |
| Authorized Official Contact | 4029268858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Tree Counseling Pllc 215 W Lincoln St Luverne MN 56156-1468 Ph: (402) 926-8858 | Banyan Tree Counseling Pllc 215 N Cedar St Ste B Luverne MN 56156-1626 Ph: (507) 920-9170 |
| NPI Number | 1831948124 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 8325585821 |
|---|---|
| Medicare Enrollment ID | O20240801002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831948124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Skie C Peltier-anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285797035 PECOS PAC ID: 9032558382 Enrollment ID: I20240418003699 |
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