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NPI Code Detail

MEDICARE: LEAH AUSTIN LMFT

MEDICARE: LEAH AUSTIN 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 Therapist2136MN

General Provider Information

NPI Number : 1568703064
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH AUSTIN LMFT
Provider Business Mailing Address
First Line : 10201 WAYZATA BLVD STE 100
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-1500
Country : US
Telephone Number : 952-544-6806
Fax Number : 952-545-0098
Provider Business Practice Location Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-871-1454
Fax Number : 612-871-1505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2013
Last Update Date : 02/18/2026

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Directions to “ LEAH AUSTIN LMFT” Practice Location

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