Life Interrupted Counseling Services
LBN: Life Interrupted Counseling Services
Life Interrupted Counseling Services is an health care organization with primary practice located at 1500 Mcandrews Rd W Ste 215 , Burnsville MN 55337-4445. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Life Interrupted Counseling Services can be contacted via phone (952) 222-3002, or through Chedda, Mary L via phone (651) 338-8643.
Contact Information
Primary practice address
1500 Mcandrews Rd W Ste 215
Burnsville MN 55337-4445
Phone: (952) 222-3002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1033821632 |
|---|---|
| LBN Legal business name | Life Interrupted Counseling Services |
| DBA Doing business as | |
| Authorized official | Chedda, Mary L MM, MA, LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2022 |
| Last updated | Jan 18th, 2024 - about 11 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033821632 | NPPES |
| Minnesota | Other | 1861931966 | INDIVIDUAL NPI |
| Minnesota | MEDICAID | 1861931966 | INDIVIDUAL NPI |
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