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NPI Code Detail

MEDICARE: MICHELLE BROWN COUNSELING

MEDICARE: MICHELLE BROWN COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1023609526
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELLE BROWN COUNSELING
Provider Business Mailing Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 612-405-9412
Fax Number :
Provider Business Practice Location Address
First Line : 8500 NORMANDALE LAKE BLVD STE 350
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-3805
Country : US
Telephone Number : 612-405-9412
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHELLE KRISTIN BROWN
Credential : MA, LMFT
Telephone Number : 763-350-4005
Provider Enumeration Date : 01/28/2021
Last Update Date : 02/14/2024

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