Organization
ADVANCED PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Advanced Psychological Services, LLC, Timothy Benesch
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA FETTIG (CLINIC COORDINATOR)
(507) 735-6449
Entity
Organization
Contact information
Practice address
304 BELLE AVE, MANKATO, MN 56001-5250
(877) 909-5511
(507) 888-0001
Mailing address
304 BELLE AVE, MANKATO, MN 56001-5250
(877) 909-5511
(507) 888-0001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/18/2022
Last updated
04/08/2024
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