Provider Demographics
NPI:1134099948
Name:STEADY, KRISTIN KELLY (MS, LAMFT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:KELLY
Last Name:STEADY
Suffix:
Gender:F
Credentials:MS, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STEVENS CT
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-5075
Mailing Address - Country:US
Mailing Address - Phone:805-901-4042
Mailing Address - Fax:
Practice Address - Street 1:17645 JUNIPER PATH
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-7490
Practice Address - Country:US
Practice Address - Phone:952-600-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4794106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist