| Northernwaters Counseling Llc | |
|
207 1st St Nw Crosby MN 56441-1301 | |
| (218) 296-0632 | |
| Not Available |
| Full Name | Northernwaters Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 1st St Nw, Crosby, Minnesota |
| Authorized Official Name and Position | Theresa Odden (OWNER) |
| Authorized Official Contact | 2182960632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northernwaters Counseling Llc 207 1st St Nw Crosby MN 56441-1301 Ph: (218) 296-0632 | Northernwaters Counseling Llc 207 1st St Nw Crosby MN 56441-1301 Ph: (218) 296-0632 |
| NPI Number | 1912660259 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Medicare PECOS PAC ID | 2264875640 |
|---|---|
| Medicare Enrollment ID | O20240213003112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912660259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Theresa Odden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457025439 PECOS PAC ID: 8022451400 Enrollment ID: I20240213002984 |
Clearwaters Crosby Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 1st St Nw, Crosby, MN 56441 Phone: 218-585-2052 | |
Planting Seeds Learning Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Main St Ste B, Crosby, MN 56441 Phone: 218-353-5472 |