| Inner Light Counseling Services | |
|
4675 40th Ave S Ste 115 Fargo ND 58104-4592 | |
| (701) 478-0906 | |
| (701) 478-0909 |
| Full Name | Inner Light Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 4675 40th Ave S Ste 115, Fargo, North Dakota |
| Authorized Official Name and Position | Mystal Axtman (OWNER) |
| Authorized Official Contact | 7014780906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Light Counseling Services 4675 40th Ave S Ste 115 Fargo ND 58104-4592 Ph: (701) 478-0906 | Inner Light Counseling Services 4675 40th Ave S Ste 115 Fargo ND 58104-4592 Ph: (701) 478-0906 |
| NPI Number | 1740861954 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4082057500 |
|---|---|
| Medicare Enrollment ID | O20240212001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740861954 | NPI | - | NPPES |
| Provider Name | Mystal Rae Axtman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285775569 PECOS PAC ID: 9436592953 Enrollment ID: I20240213002796 |
| Provider Name | Lisa Ann Mastel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013934652 PECOS PAC ID: 2062856404 Enrollment ID: I20240214000618 |
| Provider Name | Megan Week |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386164358 PECOS PAC ID: 2365853561 Enrollment ID: I20240220001797 |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Child And Family Therapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Westrac Dr S Ste 204, Fargo, ND 58103 Phone: 701-893-3419 Fax: 701-356-8801 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Sanford Neuroscience Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4134 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
Forest River Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S, Fargo, ND 58104 Phone: 701-793-5400 |