Healthcare Provider Details

I. General information

NPI: 1083546584
Provider Name (Legal Business Name): TESS BYRNES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 XERXES AVE S
BLOOMINGTON MN
55431-1631
US

IV. Provider business mailing address

1300 145TH ST E
ROSEMOUNT MN
55068-2932
US

V. Phone/Fax

Practice location:
  • Phone: 612-440-7922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4113
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: