Anderson, Tavia Lynne

Anderson, Tavia Lynne is an sole proprietor health care provider with primary practice located at 2400 W 102Nd St Apt 101 , Bloomington MN 55431-3359. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Agencies / Home Health, Other Service Providers / Driver, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Other Service Providers / Driver is her primary health care specialty. Anderson, Tavia Lynne can be contacted via phone (612) 203-4535.

Contact Information

Primary practice address
2400 W 102Nd St Apt 101 Bloomington MN 55431-3359
Phone: (612) 203-4535
Fax: (952) 217-4427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Home Health 251E00000X
Other Service Providers / Driver 172A00000X J430163453007 Minnesota
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1053709675
LBN Legal business name Anderson, Tavia Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2015
Last updated Mar 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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