Provider Demographics
NPI:1184260895
Name:DANIELLE KREEMER, LMFT, LLC
Entity type:Organization
Organization Name:DANIELLE KREEMER, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KREEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:320-630-9498
Mailing Address - Street 1:20574 US 71
Mailing Address - Street 2:
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-5063
Mailing Address - Country:US
Mailing Address - Phone:320-630-9498
Mailing Address - Fax:320-262-8198
Practice Address - Street 1:20574 US 71
Practice Address - Street 2:
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-5063
Practice Address - Country:US
Practice Address - Phone:320-630-9498
Practice Address - Fax:320-262-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN263652100Medicaid
1518207414OtherTYPE I NPI