Healing Connections Therapy Center | |
1751 Southcross Dr W Burnsville MN 55306-7012 | |
(952) 892-7690 | |
(952) 898-4930 |
Full Name | Healing Connections Therapy Center |
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Speciality | Psychologist |
Location | 1751 Southcross Dr W, Burnsville, Minnesota |
Authorized Official Name and Position | Patricia A Verby (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9528927690 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Connections Therapy Center 1751 Southcross Dr W Burnsville MN 55306-7012 Ph: (952) 892-7690 | Healing Connections Therapy Center 1751 Southcross Dr W Burnsville MN 55306-7012 Ph: (952) 892-7690 |
NPI Number | 1245312818 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 02/22/2008 |
Medicare PECOS PAC ID | 2163525031 |
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Medicare Enrollment ID | O20070314000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245312818 | NPI | - | NPPES |
C04494 | Other | MN | MEDICARE IDENTIFICATION # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP2905 (Minnesota) | Primary |
Provider Name | Nancy L Bradshaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063596096 PECOS PAC ID: 5597868463 Enrollment ID: I20070314000067 |
Provider Name | Allison J Asher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093171365 PECOS PAC ID: 1658678669 Enrollment ID: I20160318000055 |
Provider Name | Chase Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720579717 PECOS PAC ID: 2769730860 Enrollment ID: I20180807000195 |
Provider Name | Lauren K Lehr |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366980286 PECOS PAC ID: 6103166905 Enrollment ID: I20190313002951 |
Provider Name | Jennifer Kay Edlund |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104206002 PECOS PAC ID: 2567872484 Enrollment ID: I20240112003235 |
Provider Name | Jenna Marie Zoz |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1588921050 PECOS PAC ID: 0143672261 Enrollment ID: I20240113000827 |
Provider Name | David Ralph Bradshaw |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093890782 PECOS PAC ID: 2860646924 Enrollment ID: I20240208003696 |
Provider Name | John Gawboy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043638653 PECOS PAC ID: 0345683074 Enrollment ID: I20240208003950 |
Provider Name | Donald Wayne Bellinger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598248346 PECOS PAC ID: 7315381696 Enrollment ID: I20240214002135 |
Provider Name | Myranda Jo Shaw |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801375423 PECOS PAC ID: 9638513427 Enrollment ID: I20240220003787 |
Provider Name | Rebecca E Clark |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942792296 PECOS PAC ID: 2264876879 Enrollment ID: I20240221003567 |
Provider Name | Lisa L Johnson Taylor |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508945452 PECOS PAC ID: 9638510431 Enrollment ID: I20240510001486 |
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