Life Interrupted Counseling Services | |
1500 Mcandrews Rd W Ste 215 Burnsville MN 55337-4445 | |
(952) 222-3002 | |
Not Available |
Full Name | Life Interrupted Counseling Services |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1500 Mcandrews Rd W Ste 215, Burnsville, Minnesota |
Authorized Official Name and Position | Mary L Chedda (CEO/SOLE PROPRIETOR) |
Authorized Official Contact | 6513388643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Interrupted Counseling Services 1500 Mcandrews Rd W Ste 215 Burnsville MN 55337-4445 Ph: (651) 338-8643 | Life Interrupted Counseling Services 1500 Mcandrews Rd W Ste 215 Burnsville MN 55337-4445 Ph: (952) 222-3002 |
NPI Number | 1033821632 |
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Provider Enumeration Date | 12/15/2022 |
Last Update Date | 01/18/2024 |
Certification Date | 01/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033821632 | NPI | - | NPPES |
1861931966 | Other | MN | INDIVIDUAL NPI |
1861931966 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Hrb Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E 146th St Ste 110, Burnsville, MN 55337 Phone: 952-688-9365 | |
The Community Circle, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14300 Nicollet Ct, Suite 207, Burnsville, MN 55306 Phone: 952-898-7578 Fax: 952-898-7592 |