| Becoming Balanced Pc | |
|
3125 41st St S Fargo ND 58104-8666 | |
| (701) 371-9083 | |
| Not Available |
| Full Name | Becoming Balanced Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3125 41st St S, Fargo, North Dakota |
| Authorized Official Name and Position | David L Markel (CREDENTIALING & BILLING MANAGER) |
| Authorized Official Contact | 7012054533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Balanced Pc 3453 Interstate Blvd S Ste B Fargo ND 58103-2213 Ph: (701) 540-5487 | Becoming Balanced Pc 3125 41st St S Fargo ND 58104-8666 Ph: (701) 371-9083 |
| NPI Number | 1285196303 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 3072845411 |
|---|---|
| Medicare Enrollment ID | O20191104002707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285196303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Trishia K Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346519378 PECOS PAC ID: 5092966283 Enrollment ID: I20121116000284 |
| Provider Name | Desiree J Zielke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871914903 PECOS PAC ID: 5597995035 Enrollment ID: I20140303001611 |
| Provider Name | Jessica A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679873525 PECOS PAC ID: 8628220019 Enrollment ID: I20141103002548 |
| Provider Name | Andra Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639534928 PECOS PAC ID: 7517318603 Enrollment ID: I20240112003713 |
| Provider Name | Andrea Rognlien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568030062 PECOS PAC ID: 0446602775 Enrollment ID: I20240122004498 |
| Provider Name | Rachel A Blumhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003146861 PECOS PAC ID: 1153774310 Enrollment ID: I20240124003367 |
Sanford Children's Southwest Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3528 | |
Forde Counseling Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 24th Ave S, Ste 102, Fargo, ND 58104 Phone: 701-941-0175 Fax: 701-941-3001 | |
Rvision Health Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 38th St Nw Ste A, Fargo, ND 58102 Phone: 877-893-4792 | |
Plains Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3290 20th St S, Fargo, ND 58104 Phone: 701-499-4800 Fax: 701-451-9452 | |
Heartsprings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Elm St N, Fargo, ND 58102 Phone: 701-261-3142 | |
Pediatric Arts Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3290 20th St S Ste A, Fargo, ND 58104 Phone: 701-478-4722 Fax: 701-893-9057 | |
Elephant In The Room Counseling Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 Page Dr S Ste 301, Fargo, ND 58103 Phone: 701-707-3576 Fax: 701-707-3577 |