Provider Demographics
NPI:1619328887
Name:BRITTNI J. TIMMERMAN, LLC
Entity Type:Organization
Organization Name:BRITTNI J. TIMMERMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTNI
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NCC, LPCC, RPT
Authorized Official - Phone:507-829-7972
Mailing Address - Street 1:6878 LARKSPUR PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6401
Mailing Address - Country:US
Mailing Address - Phone:507-829-7972
Mailing Address - Fax:
Practice Address - Street 1:1652 GREENVIEW DR SW
Practice Address - Street 2:SUITE 290
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4219
Practice Address - Country:US
Practice Address - Phone:507-288-6978
Practice Address - Fax:507-288-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty