Provider Demographics
NPI:1972670909
Name:BUTTS, LINDGREN & ASSOCIATES INC.
Entity Type:Organization
Organization Name:BUTTS, LINDGREN & ASSOCIATES INC.
Other - Org Name:ARK COUNSELING OF PLYMOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TOSTEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:952-888-3511
Mailing Address - Street 1:PO BOX 20667
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-0667
Mailing Address - Country:US
Mailing Address - Phone:952-888-3511
Mailing Address - Fax:952-888-3088
Practice Address - Street 1:1884 BERKSHIRE LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-3723
Practice Address - Country:US
Practice Address - Phone:763-559-5677
Practice Address - Fax:763-559-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1015728-1-CDT101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty