Healthcare Provider Details

I. General information

NPI: 1811086929
Provider Name (Legal Business Name): BARBARA RAE HOVE LICSW, CEAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 SLATER RD SUITE 225
EAGAN MN
55122-4047
US

IV. Provider business mailing address

12182 GRANDVIEW TER
APPLE VALLEY MN
55124-9768
US

V. Phone/Fax

Practice location:
  • Phone: 651-287-1480
  • Fax: 952-686-2819
Mailing address:
  • Phone: 952-686-2809
  • Fax: 952-686-2819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00405
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: