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KIM SURVE LLC NPI 1215562921


NPI Information

NPI: 1215562921
Provider Name: KIM SURVE LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
900 LONG LAKE RD STE 320
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 482-9361
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KIM SURVE LLC is a marriage family therapist in New Brighton, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. KIM SURVE LLC NPI is 1215562921. The provider is registered as an organization entity type.

The provider's business location address is:

900 LONG LAKE RD STE 320
NEW BRIGHTON, MN
ZIP 55112-439
Phone: (651) 482-9361

The provider's authorized official is Kimberly Surve .
The authorized official title is Manager and has the following contact phone number (612) 396-8305.

The enumeration date for this NPI number is 3/3/2020 and was last updated on 3/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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