Lisa Jean Ervin in Bloomington - Marriage & Family Therapist

Lisa Jean Ervin - NPI 1891816260

Lisa Jean Ervin is a Marriage & Family Therapist in Bloomington, Minnesota. Lisa Jean Ervin practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Lisa Jean Ervin is 1891816260. The last update date is 2007-07-08.

Lisa Jean Ervin's current location address is 9952 Nord Rd, Bloomington, Minnesota. You can contact this provider via phone number 9529560076 and fax number 9528355679. The mailing address for Lisa Jean Ervin is 9952 Nord Rd, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Jean Ervin
Address 9952 Nord Rd, Bloomington, Minnesota
Phone Number 9529560076
Fax Number 9528355679
Sole Proprietor N
Credentials LMFT

NPI Number Detail

NPI Number 1891816260
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9952 Nord Rd
City Bloomington
State Minnesota (MN)
Post Code 554372339
Phone Number 9529560076
Fax Number 9528355679

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 1353
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
180P7ER MN BCBSMN GROUP PROVIDER #
98G51ER MN BBSMN IND. PROVIDER #

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FAQs about Lisa Jean Ervin

What is the unique 10-digit identification code assigned to Lisa Jean Ervin by the Centers for Medicare & Medicaid Services?

The Lisa Jean Ervin has been issued the NPI (National Provider Identifier) 1891816260, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lisa Jean Ervin is located?

The Lisa Jean Ervin is situated at the following address: 9952 Nord Rd, Bloomington, MN, 554372339.

What is Lisa Jean Ervin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lisa Jean Ervin is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.

On what date did the Lisa Jean Ervin receive its 1891816260 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Jean Ervin was assigned its 1891816260 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date was the information regarding Lisa Jean Ervin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lisa Jean Ervin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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