| Faithworks Counseling, Llc | |
|
110 1st St E Jordan MN 55352-1502 | |
| (952) 451-3660 | |
| Not Available |
| Full Name | Faithworks Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 110 1st St E, Jordan, Minnesota |
| Authorized Official Name and Position | Sally Irene Beck (PRESIDENT) |
| Authorized Official Contact | 9524513660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithworks Counseling, Llc 110 1st St E Jordan MN 55352-1502 Ph: (952) 451-3660 | Faithworks Counseling, Llc 110 1st St E Jordan MN 55352-1502 Ph: (952) 451-3660 |
| NPI Number | 1235377656 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 07/21/2024 |
| Certification Date | 07/21/2024 |
| Medicare PECOS PAC ID | 8325574247 |
|---|---|
| Medicare Enrollment ID | O20241216000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235377656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Sally Irene Beck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558414136 PECOS PAC ID: 9234665159 Enrollment ID: I20241216000442 |
| Provider Name | Justine Anna Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295260685 PECOS PAC ID: 4880122290 Enrollment ID: I20250114000157 |
Cornerstone Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 1st St E, Suite 102, Jordan, MN 55352 Phone: 952-292-7050 Fax: 952-492-7885 |