Provider Demographics
NPI:1518963750
Name:BURNSVILLE COUNSELING & HEALING CENTER
Entity Type:Organization
Organization Name:BURNSVILLE COUNSELING & HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LP
Authorized Official - Phone:952-435-4144
Mailing Address - Street 1:17305 CEDAR AVE. S.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044
Mailing Address - Country:US
Mailing Address - Phone:952-435-4144
Mailing Address - Fax:952-435-4149
Practice Address - Street 1:17305 CEDAR AVE. S.
Practice Address - Street 2:SUITE 230
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044
Practice Address - Country:US
Practice Address - Phone:952-435-4144
Practice Address - Fax:952-435-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty