Provider Demographics
NPI:1700086782
Name:MCPHERSON COUNSELING SERVICES,INC
Entity Type:Organization
Organization Name:MCPHERSON COUNSELING SERVICES,INC
Other - Org Name:ERIN P. MCPHERSON, MSW, LICSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATION PRESIDENT/LICSW
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:320-255-0343
Mailing Address - Street 1:600 25TH AVE S
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4820
Mailing Address - Country:US
Mailing Address - Phone:320-255-0343
Mailing Address - Fax:320-654-0318
Practice Address - Street 1:600 25TH AVE S
Practice Address - Street 2:SUITE 109
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4820
Practice Address - Country:US
Practice Address - Phone:320-255-0343
Practice Address - Fax:320-654-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN130731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN125138400Medicaid
MN227G0MCOtherBLUE CROSS BLUE SHIELD
MN62 47529OtherMEDICA
MN62 47529OtherMEDICA