| Solace Counseling Pllc | |
|
1321 23rd St S Ste D Fargo ND 58103-3724 | |
| (701) 203-8725 | |
| Not Available |
| Full Name | Solace Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1321 23rd St S Ste D, Fargo, North Dakota |
| Authorized Official Name and Position | Brittany Schank (OWNER) |
| Authorized Official Contact | 7014123938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Counseling Pllc 1321 23rd St S Ste D Fargo ND 58103-3724 Ph: (701) 203-8725 | Solace Counseling Pllc 1321 23rd St S Ste D Fargo ND 58103-3724 Ph: (701) 203-8725 |
| NPI Number | 1235799842 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Medicare PECOS PAC ID | 1254759681 |
|---|---|
| Medicare Enrollment ID | O20200916001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235799842 | NPI | - | NPPES |
| Provider Name | Amanda Jo Burner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114370707 PECOS PAC ID: 1254676075 Enrollment ID: I20181226001861 |
| Provider Name | Brittany A Schank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992252621 PECOS PAC ID: 8426476854 Enrollment ID: I20200916001253 |
| Provider Name | Nicole Marie Badar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609401769 PECOS PAC ID: 2668889049 Enrollment ID: I20210331001971 |
| Provider Name | Katrina Grove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669028700 PECOS PAC ID: 3072922327 Enrollment ID: I20210517002686 |
| Provider Name | Jordyn Ann Koski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568815959 PECOS PAC ID: 3072913011 Enrollment ID: I20210614002104 |
| Provider Name | Callie Winkels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437701620 PECOS PAC ID: 3870947138 Enrollment ID: I20230920004369 |
| Provider Name | Kjellann Loe-johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417311465 PECOS PAC ID: 0143671503 Enrollment ID: I20240110001439 |
| Provider Name | Debra K Deminck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588974018 PECOS PAC ID: 9032553706 Enrollment ID: I20240221001832 |
| Provider Name | Lori Ann Trumbauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437657251 PECOS PAC ID: 4880039791 Enrollment ID: I20240301001810 |
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