Kimberly Ann Lundholm-Eades in Centerville - Marriage & Family Therapist
Kimberly Ann Lundholm-Eades - NPI 1538253133
Kimberly Ann Lundholm-Eades is a Marriage & Family Therapist in Centerville, Minnesota. Kimberly Ann Lundholm-Eades practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kimberly Ann Lundholm-Eades is 1538253133. The last update date is 2017-08-15.
Kimberly Ann Lundholm-Eades's current location address is 7039 20th Ave, Centerville, Minnesota. You can contact this provider via phone number 6513932830 and fax number 6513932835. The mailing address for Kimberly Ann Lundholm-Eades is 7039 20th Ave, Centerville, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Ann Lundholm-Eades |
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Address | 7039 20th Ave, Centerville, Minnesota |
Phone Number | 6513932830 |
Fax Number | 6513932835 |
Sole Proprietor | Y |
Credentials | M.S., LMFT |
NPI Number Detail
NPI Number | 1538253133 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2017-08-15 |
Provider Mailing Address Detail
Address | 7039 20th Ave |
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City | Centerville |
State | Minnesota (MN) |
Post Code | 550389737 |
Phone Number | 6513932830 |
Fax Number | 6513932835 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 942 |
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 |
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011N6LU | MN | BLUE CROSS BLUE SHIELD |
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What is the unique provider identifier assigned to Kimberly Ann Lundholm-Eades?
The Kimberly Ann Lundholm-Eades has been issued the NPI (National Provider Identifier) 1538253133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kimberly Ann Lundholm-Eades's physical address?
The Kimberly Ann Lundholm-Eades is physically located at 7039 20Th Ave, in the city of Centerville, MN, with the postal code 550389737.
What is the Kimberly Ann Lundholm-Eades's specialty and taxonomy code?
The Kimberly Ann Lundholm-Eades's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Kimberly Ann Lundholm-Eades receive its 1538253133 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Ann Lundholm-Eades was assigned its 1538253133 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the Kimberly Ann Lundholm-Eades's details last updated?
The information pertaining to the Kimberly Ann Lundholm-Eades, including its address, specialty, and other details, was most recently updated on 2017-08-15.