Provider Demographics
NPI:1780765818
Name:WOLFE, BARBARA N (LMFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:N
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HIGHWAY 13 E
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2884
Mailing Address - Country:US
Mailing Address - Phone:952-564-3000
Mailing Address - Fax:952-564-3031
Practice Address - Street 1:501 EAST HWY 13
Practice Address - Street 2:SUITE 108
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337
Practice Address - Country:US
Practice Address - Phone:952-564-3000
Practice Address - Fax:952-564-3031
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1301106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN152068OtherBHP/UCARE
MN1045510OtherBHP/PREFERRED ONE
MN600052517OtherMAGELLAN
MN9D634WOOtherBCBS
MN844648200Medicaid
MN354948OtherUBH
MN411910086OtherCORPHEALTH
MNHP51727OtherHEALTH PARTNERS/ CIGNA