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NPI Code Detail

MEDICARE: BRIENNE LAHAYE M.A., LMFT

MEDICARE: BRIENNE LAHAYE M.A., LMFT
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
1106H00000XMarriage & Family Therapist1686MN

General Provider Information

NPI Number : 1538348131
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIENNE LAHAYE M.A., LMFT
Provider Business Mailing Address
First Line : 5910 SHINGLE CREEK PKWY
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2322
Country : US
Telephone Number : 763-569-5200
Fax Number : 763-569-5201
Provider Business Practice Location Address
First Line : 5910 SHINGLE CREEK PKWY
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2322
Country : US
Telephone Number : 763-569-5200
Fax Number : 763-569-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2007
Last Update Date : 07/07/2020

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