| Helen Hutton Lcsw Pllc | |
|
2900 14th Ave S Grand Forks ND 58201-4042 | |
| (701) 787-7900 | |
| Not Available |
| Full Name | Helen Hutton Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2900 14th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Helen Cherie Hutton (BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Contact | 7017411979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helen Hutton Lcsw Pllc 811 Oakfield Dr Grand Forks ND 58201-8327 Ph: (701) 741-1979 | Helen Hutton Lcsw Pllc 2900 14th Ave S Grand Forks ND 58201-4042 Ph: (701) 787-7900 |
| NPI Number | 1275296196 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 7810381670 |
|---|---|
| Medicare Enrollment ID | O20220222001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275296196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Helen Cherie Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740850262 PECOS PAC ID: 6305235730 Enrollment ID: I20220222001531 |
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