Larson, Carole (Nickey) Galush
Larson, Carole (Nickey) Galush is an sole proprietor health care provider with primary practice located at 7400 Metro Blvd Suite 215, Edina MN 55439-2316. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Larson, Carole (Nickey) Galush can be contacted via phone (952) 929-8432.Contact Information
Primary practice address
7400 Metro Blvd Suite 215
Edina MN 55439-2316
Phone: (952) 929-8432
Fax: (952) 929-8432
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300756 | Minnesota |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1810 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 466 | Minnesota |
Profile Details
NPI number | 1538202890 |
---|---|
LBN Legal business name | Larson, Carole (Nickey) Galush |
Credentials | PSYD LP LMFT LADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 15th, 2007 |
Last updated | Nov 2nd, 2015 - about 9 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 | 1538202890 | NPPES |
Other | 122275 | HEALTH PARTNERS FINANCIAL | |
Other | 46715LA | HEALTH PARTNERS FINANCIAL | |
MEDICAID | 563350800 | HEALTH PARTNERS FINANCIAL | |
Other | 46714LA | HEALTH PARTNERS FINANCIAL |
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