| Winds Of Change Counseling Center | |
|
30 7th St. W, Door A Dickinson ND 58601 | |
| (701) 483-0230 | |
| (701) 483-0231 |
| Full Name | Winds Of Change Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 7th St. W, Door A, Dickinson, North Dakota |
| Authorized Official Name and Position | Shelly M Hall (CLINICAL PSYCHOLOGICAL) |
| Authorized Official Contact | 7014830230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Counseling Center Po Box 810 Dickinson ND 58602-0810 Ph: (701) 483-0230 | Winds Of Change Counseling Center 30 7th St. W, Door A Dickinson ND 58601 Ph: (701) 483-0230 |
| NPI Number | 1295367449 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 8022438415 |
|---|---|
| Medicare Enrollment ID | O20201023002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295367449 | NPI | - | NPPES |
| Provider Name | Shelly M Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336115435 PECOS PAC ID: 1658388566 Enrollment ID: I20060317000553 |
| Provider Name | Toni Rae Abelseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962886689 PECOS PAC ID: 7012314602 Enrollment ID: I20210923003816 |
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