| Foundations Family Therapy, Llc | |
|
14041 Burnhaven Dr Ste 112 Burnsville MN 55337-4450 | |
| (612) 382-8651 | |
| (952) 487-1234 |
| Full Name | Foundations Family Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14041 Burnhaven Dr Ste 112, Burnsville, Minnesota |
| Authorized Official Name and Position | Carrie Klemz Wolfson (OWNER) |
| Authorized Official Contact | 6123828651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Family Therapy, Llc 14041 Burnhaven Dr Ste 112 Burnsville MN 55337-4450 Ph: (612) 382-8651 | Foundations Family Therapy, Llc 14041 Burnhaven Dr Ste 112 Burnsville MN 55337-4450 Ph: (612) 382-8651 |
| NPI Number | 1568733061 |
|---|---|
| Provider Enumeration Date | 01/16/2012 |
| Last Update Date | 05/30/2017 |
| Medicare PECOS PAC ID | 0244672459 |
|---|---|
| Medicare Enrollment ID | O20240520002205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568733061 | NPI | - | NPPES |
| Provider Name | Carrie Klemz Wolfson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811297906 PECOS PAC ID: 1153763362 Enrollment ID: I20240520002501 |
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