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Christi Michelle Wellman

Counselor

Behavioral Health & Social Service Providers

11725 Stinson Avenue, Chicago City, MN 55013

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTI WELLMAN.

Based on the most recent information from CMS, provider Christi Michelle Wellman is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1568085868
Provider Type
Individual
Full Name
Wellman, Christi Michelle
Title
Ms.
Credential
LPCC AND LADC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/20/2020
Last Updated
5/20/2020

Contact Information

Practice Location

11725 Stinson Avenue, Chicago City, MN 55013

(651) 213-8051

(651) 257-9237

Mailing Location

11725 Stinson Avenue, Chicago City, MN 55013

(651) 213-8051

(651) 257-9237

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CC00281 Minnesota
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 304539 Minnesota

Christi Michelle Wellman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kahler, Michelle

Noren, Nicole Marie

Garcia, Bryan Edward

Hermes, Sheila

Andersen, Dana Marie