| Lifelight Counseling Services, Llc | |
|
1030 County Road E W Shoreview MN 55126-8152 | |
| (763) 340-2310 | |
| Not Available |
| Full Name | Lifelight Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 County Road E W, Shoreview, Minnesota |
| Authorized Official Name and Position | Rachael A Gusaas (OWNER) |
| Authorized Official Contact | 7636147148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelight Counseling Services, Llc 1030 County Road E W Ste 220 Shoreview MN 55126-8153 Ph: (763) 340-2310 | Lifelight Counseling Services, Llc 1030 County Road E W Shoreview MN 55126-8152 Ph: (763) 340-2310 |
| NPI Number | 1053085704 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 8325438179 |
|---|---|
| Medicare Enrollment ID | O20211209001485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053085704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Leanne M Mairs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053567560 PECOS PAC ID: 2961644018 Enrollment ID: I20130820000502 |
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Allina Health Shoreview Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2215 | |
Minnhealth - Shoreview Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 | |
Preferred Chiropractic Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, #208, Shoreview, MN 55126 Phone: 651-481-1488 Fax: 651-481-8051 | |
Minnesota Vitality And Anti-aging Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Highway 96 W Ste 200, Shoreview, MN 55126 Phone: 651-374-4014 Fax: 651-374-4019 | |
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