Shadlyn C Bourne, LPCC - Counselor in Plymouth, MN

Shadlyn C Bourne, LPCC is a Counselor - Mental Health based in Plymouth, Minnesota. Shadlyn C Bourne is licensed to practice in * (Not Available) (license number ) and her current practice location is 9800 Shelard Pkwy Ste 325, Plymouth, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 614-6393.

NPI number for Shadlyn C Bourne is 1710526637 and her current mailing address is 4007 65th Ave N, Brooklyn Center, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710526637.

Contact Information

Shadlyn C Bourne, LPCC
9800 Shelard Pkwy Ste 325,
Plymouth, MN 55441-6453
(763) 614-6393
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShadlyn C Bourne
GenderFemale
SpecialityCounselor - Mental Health
Location9800 Shelard Pkwy Ste 325, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710526637
  • Provider Enumeration Date: 12/23/2019
  • Last Update Date: 12/23/2019

Medical Identifiers

Medical identifiers for Shadlyn C Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710526637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))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. Shadlyn C Bourne 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
Shadlyn C Bourne, LPCC
4007 65th Ave N,
Brooklyn Center, MN 55429-2158

Ph: (763) 614-6393
Shadlyn C Bourne, LPCC
9800 Shelard Pkwy Ste 325,
Plymouth, MN 55441-6453

Ph: (763) 614-6393

Reviews and Comments


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