MEDICARE: BRIANA PAIGE

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	5336	MN

General Provider Information

NPI Number	:	1629932728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA PAIGE

Provider Business Mailing Address
First Line	:	220 RAILROAD ST SE
Second Line	:
City	:	PINE CITY
State	:	MN
Zip	:	55063-1540
Country	:	US
Telephone Number	:	320-629-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	38175 GRAND AVE
Second Line	:
City	:	NORTH BRANCH
State	:	MN
Zip	:	55056-6070
Country	:	US
Telephone Number	:	651-674-1500
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ BRIANA PAIGE ” Practice Location

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