| De Ella D Wilcox Llc | |
|
2233 Roosevelt Rd. Ste. 1 2233 Roosevelt Rd. Ste. 1 Saint Cloud MN 56301 | |
| (320) 460-2550 | |
| (320) 217-5453 |
| Full Name | De Ella D Wilcox Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2233 Roosevelt Rd. Ste. 1, Saint Cloud, Minnesota |
| Authorized Official Name and Position | De Ella Dawn Wilcox (MANAGER/OWNER) |
| Authorized Official Contact | 2186392805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Ella D Wilcox Llc Po Box 7430 Saint Cloud MN 56302-7430 Ph: (320) 460-2550 | De Ella D Wilcox Llc 2233 Roosevelt Rd. Ste. 1 2233 Roosevelt Rd. Ste. 1 Saint Cloud MN 56301 Ph: (320) 460-2550 |
| NPI Number | 1396451241 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396451241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Catholic Charities Of The Diocese Of St. Cloud Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301 Phone: 320-240-3324 Fax: 320-240-3339 | |
Minnesota State Colleges And Universities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 First Avenue South, Saint Cloud, MN 56301 Phone: 320-308-3191 Fax: 320-308-3192 | |
Gayle Neuerburg Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Northway Dr Ste 110, Saint Cloud, MN 56303 Phone: 218-721-2982 | |
James Rudolph Tuorila Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Doctors Park, Saint Cloud, MN 56303 Phone: 320-253-4321 Fax: 320-281-3045 | |
St. Cloud Neurobehavioral Associates, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3812 8th St N Ste 200, Saint Cloud, MN 56303 Phone: 320-253-3833 Fax: 320-253-5741 | |
Cartwright Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1723 7th St Se, Saint Cloud, MN 56304 Phone: 612-324-1642 Fax: 612-421-0021 | |
Gkramer, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3333 W Division St Ste 119, Saint Cloud, MN 56301 Phone: 320-774-1621 Fax: 320-774-1624 |