| Heartland Counseling, Llc | |
|
190 S River Ridge Cir Suite209 Burnsville MN 55337-1627 | |
| (952) 736-8393 | |
| (952) 736-8375 |
| Full Name | Heartland Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 190 S River Ridge Cir, Burnsville, Minnesota |
| Authorized Official Name and Position | Sharon Joyce Petersen (OWNER) |
| Authorized Official Contact | 6126361107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Counseling, Llc 190 S River Ridge Cir Suite209 Burnsville MN 55337-1627 Ph: (952) 736-8393 | Heartland Counseling, Llc 190 S River Ridge Cir Suite209 Burnsville MN 55337-1627 Ph: (952) 736-8393 |
| NPI Number | 1467999136 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 6406297795 |
|---|---|
| Medicare Enrollment ID | O20240517001229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467999136 | NPI | - | NPPES |
| 1275593949 | Other | MN | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1251 (Minnesota) | Primary |
| Provider Name | Sharon Joyce Petersen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275593949 PECOS PAC ID: 8123469418 Enrollment ID: I20240517001264 |
| Provider Name | David Swan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710267141 PECOS PAC ID: 0345655080 Enrollment ID: I20240531000567 |
| Provider Name | Megan L Kelly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104457530 PECOS PAC ID: 7012359334 Enrollment ID: I20240531000942 |
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