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Life Interrupted Counseling Services
Adolescent and Children Mental Health Clinic/Center in Burnsville, Minnesota
NPI 1033821632

Life Interrupted Counseling Services is an Adolescent and Children Mental Health Clinic/Center based in Burnsville, MN and is specialized in Adolescent and Children Mental Health. Life Interrupted Counseling Services practices in Burnsville, MN. The NPI Number for Life Interrupted Counseling Services is 1033821632 and holds a License No. (Minnesota).

The current practice location address for Life Interrupted Counseling Services is 1500 Mcandrews Rd W Ste 215, Burnsville, MN and can be reached out via phone at 952-222-3002.

Location: 1500 Mcandrews Rd W Ste 215, Burnsville, MN, 55337-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033821632
Provider Name
Life Interrupted Counseling Services
Credential
Provider Entity Type
Organization
Address
1500 Mcandrews Rd W Ste 215, Burnsville, MN, 55337-4445
Phone Number
952-222-3002
Fax Number
Provider Enumeration Date
12/15/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861931966 01 MN INDIVIDUAL NPI
1861931966 05 MN
institution
Provider Business Practice Location Address Details
Address
1500 Mcandrews Rd W Ste 215
City
Burnsville
State
Minnesota
Zip
55337-4445
Phone Number
952-222-3002
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Mcandrews Rd W Ste 215
City
Burnsville
State
Minnesota
Zip
55337-4445
Phone Number
952-222-3002
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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