Connelly, Teresa Josephine
Connelly, Teresa Josephine is an sole proprietor health care provider with primary practice located at 1874 3Rd St Sw , New Brighton MN 55112. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Connelly, Teresa Josephine can be contacted via phone (763) 717-4979.Contact Information
Primary practice address
1874 3Rd St Sw
New Brighton MN 55112
Phone: (763) 717-4979
Fax: (763) 717-4954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LP2332 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2332 | Minnesota |
Profile Details
| NPI number | 1992876064 |
|---|---|
| LBN Legal business name | Connelly, Teresa Josephine |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Aug 1st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992876064 | NPPES |
| Minnesota | Other | 57348CO | BLUECROSS PROVIDER NUMBER |
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