| Burns Psychotherapy, Llc | |
|
1030 County Road E W Ste 220 Shoreview MN 55126-8153 | |
| (763) 340-2311 | |
| Not Available |
| Full Name | Burns Psychotherapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1030 County Road E W Ste 220, Shoreview, Minnesota |
| Authorized Official Name and Position | Richard Bruce Burns (OWNER) |
| Authorized Official Contact | 7633000387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burns Psychotherapy, Llc Po Box 120448 New Brighton MN 55112-0018 Ph: (763) 300-0387 | Burns Psychotherapy, Llc 1030 County Road E W Ste 220 Shoreview MN 55126-8153 Ph: (763) 340-2311 |
| NPI Number | 1316635782 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 6305286295 |
|---|---|
| Medicare Enrollment ID | O20240425001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316635782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Richard Bruce Burns |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902062003 PECOS PAC ID: 7113367004 Enrollment ID: I20240425001414 |
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Elaine K Johnson Ma Lp Ladc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 612-801-5826 Fax: 651-490-5215 | |
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