NPI Code Details Logo

NPI 1568396745

NPI 1568396745 : LIONESS COUNSELING CARE : BURNSVILLE, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568396745
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LIONESS COUNSELING CARE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/11/2026
-----------------------------------------------------
    Last Update Date     |    06/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14500 BURNHAVEN DR STE 100 
-----------------------------------------------------
    City                 |    BURNSVILLE
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55306-4926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-230-5096
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4740 190TH ST W 
-----------------------------------------------------
    City                 |    FARMINGTON
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55024-7081
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-230-5096
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    THERAPIST
-----------------------------------------------------
    Name                 |     ASHLEY  STEVENS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    651-230-5096
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.