Provider Demographics
NPI:1114589777
Name:PIENINIEMI, ERIKA TYYNE (MPS, LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:TYYNE
Last Name:PIENINIEMI
Suffix:
Gender:F
Credentials:MPS, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 COUNTY ROAD B2 W STE 240
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2722
Mailing Address - Country:US
Mailing Address - Phone:763-600-7572
Mailing Address - Fax:
Practice Address - Street 1:1935 COUNTY ROAD B2 W STE 240
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2722
Practice Address - Country:US
Practice Address - Phone:763-600-7572
Practice Address - Fax:844-407-4565
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305459101YA0400X
MN3359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)