| Central Lakes Mental Health | |
|
1103 Broadway St Ste 102 Alexandria MN 56308-0015 | |
| (320) 228-9903 | |
| (320) 238-7406 |
| Full Name | Central Lakes Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1103 Broadway St Ste 102, Alexandria, Minnesota |
| Authorized Official Name and Position | Erica Leigh Overshiner (OWNER/COUNSELOR) |
| Authorized Official Contact | 3202289903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Lakes Mental Health 1103 Broadway St Ste 102 Alexandria MN 56308-0015 Ph: (320) 228-9903 | Central Lakes Mental Health 1103 Broadway St Ste 102 Alexandria MN 56308-0015 Ph: (320) 228-9903 |
| NPI Number | 1689282378 |
|---|---|
| Provider Enumeration Date | 07/19/2020 |
| Last Update Date | 07/19/2020 |
| Certification Date | 07/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689282378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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