Creative Connections Counseling Llc | |
11990 Portland Ave Burnsville MN 55337-1516 | |
(651) 300-9654 | |
Not Available |
Full Name | Creative Connections Counseling Llc |
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Speciality | Counselor |
Location | 11990 Portland Ave, Burnsville, Minnesota |
Authorized Official Name and Position | Breanna Reed (OWNER) |
Authorized Official Contact | 6513009654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Connections Counseling Llc 11990 Portland Ave Burnsville MN 55337-1516 Ph: (651) 300-9654 | Creative Connections Counseling Llc 11990 Portland Ave Burnsville MN 55337-1516 Ph: (651) 300-9654 |
NPI Number | 1982313029 |
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Provider Enumeration Date | 11/17/2022 |
Last Update Date | 11/17/2022 |
Certification Date | 11/17/2022 |
Medicare PECOS PAC ID | 1456892314 |
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Medicare Enrollment ID | O20240918003232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982313029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Breanna Reed |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659016541 PECOS PAC ID: 8729527833 Enrollment ID: I20240903001403 |
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