Mary Ann Havstad, MA LICSW - Counselor in Bloomington, MN

Mary Ann Havstad, MA LICSW is a Counselor - Mental Health based in Bloomington, Minnesota. Mary Ann Havstad is licensed to practice in Minnesota (license number 8300) and her current practice location is 9001 E Blgtn Frwy, Suite 140, Bloomington, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 518-5105.

NPI number for Mary Ann Havstad is 1568530954 and her current mailing address is 3703 Towndale Dr, Bloomington, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568530954.

Contact Information

Mary Ann Havstad, MA LICSW
9001 E Blgtn Frwy, Suite 140,
Bloomington, MN 55420
(612) 518-5105
(952) 881-3588

Map and Direction


Healthcare Provider's Profile

Full NameMary Ann Havstad
GenderFemale
SpecialityCounselor - Mental Health
Location9001 E Blgtn Frwy, Bloomington, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568530954
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Ann Havstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568530954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 8300 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Ann Havstad is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Ann Havstad, MA LICSW
3703 Towndale Dr,
Bloomington, MN 55431-1047

Ph: (612) 518-5105
Mary Ann Havstad, MA LICSW
9001 E Blgtn Frwy, Suite 140,
Bloomington, MN 55420

Ph: (612) 518-5105

Reviews and Comments


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