MEDICARE: AMY LYNN STRAND MA, LPCC

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
1	101YM0800X	Mental Health Counselor	CC01493	MN

General Provider Information

NPI Number	:	1528597747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYNN STRAND MA, LPCC

Provider Business Mailing Address
First Line	:	15800 KRAFTON AVE
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-5320
Country	:	US
Telephone Number	:	651-485-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	15265 CARROUSEL WAY
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-1760
Country	:	US
Telephone Number	:	952-443-4600
Fax Number	:	651-322-4603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2017
Last Update Date	:	12/21/2023

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