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NPI Code Detail

MEDICARE: RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC

MEDICARE: RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC
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
1101YM0800XMental Health CounselorCC1053MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC1053OTHERMNBOARD OF BEHAVIOR HEALTH & THERAPY

General Provider Information

NPI Number : 1427421957
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC
Provider Business Mailing Address
First Line : 8640 EAGLE CREEK CIR
Second Line :
City : SAVAGE
State : MN
Zip : 55378-4400
Country : US
Telephone Number : 952-746-7664
Fax Number : 952-224-4867
Provider Business Practice Location Address
First Line : 8640 EAGLE CREEK CIR
Second Line :
City : SAVAGE
State : MN
Zip : 55378-4400
Country : US
Telephone Number : 952-746-7664
Fax Number : 952-224-4867
Authorized Official
Title or Position : CLINIC MANAGER
Name : SARA KUESTER
Credential :
Telephone Number : 952-746-7664
Provider Enumeration Date : 11/05/2015
Last Update Date : 02/06/2026

Similar Medicare Providers

1962401380 — LEAH WELLSTONE MA. LMFT
Practice Location Address:
8640 EAGLE CREEK CIR
SAVAGE, MN
55378-4400
Practice Phone: 952-994-6896
Practice Fax:
1316197148 — RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC
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8640 EAGLE CREEK CIR
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Practice Fax:
1780004127 — JENNIFER PETERSON
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55378-4400
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1942674619 — MARY MCCARNEY
Practice Location Address:
8640 EAGLE CREEK CIR
SAVAGE, MN
55378-4400
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Practice Fax: 952-224-4867
1568820397 — MRS. LISA MARIE FULTON LICSW
Practice Location Address:
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1790135713 — JENNIFER S. JOHNSON MARRIAGE AND FAMILY LLC
Practice Location Address:
8640 EAGLE CREEK CIR
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Practice Fax: 952-224-4867

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