MEDICARE: AERIEL RECOVERY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1063194249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERIEL RECOVERY SERVICES LLC

Provider Business Mailing Address
First Line	:	412 W SUPERIOR ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1512
Country	:	US
Telephone Number	:	218-390-0929
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 W SUPERIOR ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1512
Country	:	US
Telephone Number	:	218-341-7699
Fax Number	:

Authorized Official
Title or Position	:	OWNER & CEO
Name	:	OCTOBER ALLEN
Credential	:
Telephone Number	:	218-341-7699

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	06/10/2025

Similar Medicare Providers

1861327108 — LISA MAUREEN FULTON LADC
Practice Location Address:

412 W SUPERIOR ST
DULUTH, MN
55802-1512

Practice Phone: 218-481-4019
Practice Fax:

1336958941 — MRS. JENNIFER MCINTOSH
Practice Location Address:

412 W SUPERIOR ST
DULUTH, MN
55802-1512

Practice Phone: 218-481-4019
Practice Fax:

1154488849 — DBS LABS INC
Practice Location Address:

8723 FALCON ST
DULUTH, MN
55808-1512

Practice Phone: 877-476-7229
Practice Fax: 218-626-1638

1770419905 — HOLLY MARIE OLSON
Practice Location Address:

32 E 1ST ST STE 200
DULUTH, MN
55802-3032

Practice Phone: 218-726-1931
Practice Fax:

1659699536 — DR. ANNA V PERELSHTEYN M.D.
Practice Location Address:

1001 E SUPERIOR ST , STE L101
DULUTH, MN
55802-2207

Practice Phone: 218-249-3081
Practice Fax: 218-249-7875

1386202042 — GLENN EMERY MALONEY LICSW, LADC
Practice Location Address:

314 W SUPERIOR ST STE 314
DULUTH, MN
55802-1825

Practice Phone: 218-225-8498
Practice Fax:

Directions to “AERIEL RECOVERY SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.