| Visions Psychological & Therapeutic Center, Pllc | |
|
200 5th St S Suite 205 Moorhead MN 56560-2768 | |
| (218) 331-0155 | |
| Not Available |
| Full Name | Visions Psychological & Therapeutic Center, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 5th St S, Moorhead, Minnesota |
| Authorized Official Name and Position | Joseph M Cox (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 121823310155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Psychological & Therapeutic Center, Pllc 200 5th St S Suite 205 Moorhead MN 56560-2768 Ph: (218) 331-0155 | Visions Psychological & Therapeutic Center, Pllc 200 5th St S Suite 205 Moorhead MN 56560-2768 Ph: (218) 331-0155 |
| NPI Number | 1871952119 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 1456641687 |
|---|---|
| Medicare Enrollment ID | O20160601000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871952119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP5621 (Minnesota) | Primary |
| Provider Name | Lisa K Rorvig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821277328 PECOS PAC ID: 2062653256 Enrollment ID: I20180109002703 |
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