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General NPI Number Information
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NPI Number | 1558371955
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Entity Type | Organization
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Legal Business Name | HIGHLAND PARK COUNSELING ASSOCIATES LLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 774 DELAWARE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55107-2538
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Country | US
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Telephone | 612-269-9761
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Fax | 612-465-4017
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Provider Business Mailing Address
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Address Line | 790 CLEVELAND AVE S STE 207
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City | SAINT PAUL
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State | MN
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Zip | 55116-3866
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Country | US
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Telephone | 651-690-0953
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Fax | 651-690-0968
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | MS. BERVEN SEARS BERVEN
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Credential | LICSW
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Telephone | 612-269-9761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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