| Center for Life Transitions | |
|
38 24th Ave N Saint Cloud MN 56303-4340 | |
| (320) 746-0025 | |
| Not Available |
| Full Name | Center for Life Transitions |
|---|---|
| Speciality | Clinic/Center |
| Location | 38 24th Ave N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Roxann J Storms (BOARD CHAIR) |
| Authorized Official Contact | 3207460025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Life Transitions 38 24th Ave N Saint Cloud MN 56303-4340 Ph: (320) 746-0025 | Center for Life Transitions 38 24th Ave N Saint Cloud MN 56303-4340 Ph: (320) 746-0025 |
| NPI Number | 1285198663 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 5193150639 |
|---|---|
| Medicare Enrollment ID | O20200110001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285198663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Roxann J Storms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730527367 PECOS PAC ID: 3779710371 Enrollment ID: I20131205000427 |
| Provider Name | Janet K Fischels Wensman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760973655 PECOS PAC ID: 8224388434 Enrollment ID: I20180910002500 |
| Provider Name | Shereen Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912691064 PECOS PAC ID: 8022469113 Enrollment ID: I20240112003850 |
| Provider Name | Paula Fuchs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215469259 PECOS PAC ID: 8628412616 Enrollment ID: I20240217000807 |
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