| |
760 Southcross Dr W 103 Burnsville MN 55306-7916 | |
(952) 808-1400 | |
(952) 808-1400 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 760 Southcross Dr W, Burnsville, Minnesota |
Authorized Official Name and Position | Kristin Jean Aydt (PRESIDENT) |
Authorized Official Contact | 9528081400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
760 Southcross Dr W Suite 103 Burnsville MN 55306-7916 Ph: (950) 808-1400 | 760 Southcross Dr W 103 Burnsville MN 55306-7916 Ph: (952) 808-1400 |
NPI Number | 1982984845 |
---|---|
Provider Enumeration Date | 08/24/2011 |
Last Update Date | 06/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982984845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1228 (Minnesota) | Primary |
Life Interrupted Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcandrews Rd W Ste 215, Burnsville, MN 55337 Phone: 952-222-3002 | |
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 |