Michelle C Peterson, MS LMFT | |
7600 Parklawn Ave, Edina, MN 55435 | |
(612) 203-2961 | |
(952) 831-0033 |
Full Name | Michelle C Peterson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 7600 Parklawn Ave, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851354153 | NPI | - | NPPES |
990991045225 | Other | MN | PREFERRED ONE |
1639343783 | Other | ORGANIZATIONAL NPI | |
918142300 | Other | MEDICAL ASSISTANCE | |
918142300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1315 (Minnesota) | Primary |
Entity Name | Mn Mental Health Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639343783 PECOS PAC ID: 9739344227 Enrollment ID: O20120709000161 |
Mailing Address | Practice Location Address |
---|---|
Michelle C Peterson, MS LMFT 7600 Parklawn Avenue,, 380, Edina, MN 55435-4300 Ph: (612) 203-2961 | Michelle C Peterson, MS LMFT 7600 Parklawn Ave, Edina, MN 55435 Ph: (612) 203-2961 |
Ms. Isabelle Anna Lankhorst, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6750 France Ave S Ste 200, Edina, MN 55435 Phone: 612-486-2058 | |
Sandra Kay Martin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd, Suite 412, Edina, MN 55439 Phone: 612-267-2885 Fax: 612-429-5721 | |
Lauryn Elizabeth Nelson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5275 Edina Industrial Blvd, Edina, MN 55439 Phone: 612-688-5968 | |
Ms. Leslie A Kreofsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 223, Edina, MN 55435 Phone: 952-452-4851 | |
Tiffany M. Anderson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7505 Metro Blvd Ste 505, Edina, MN 55439 Phone: 612-505-3692 | |
Joseph E Noble, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 Phone: 612-202-0718 | |
Mr. Mark Omar Anderson, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 239, Edina, MN 55435 Phone: 952-345-1875 Fax: 952-345-1876 |