MS. ELIZABETH SUBRAMANIAM


Address: 658 Grand Ave, Saint Paul, MN 55105-3417
Phone: 6129202030

MS. ELIZABETH SUBRAMANIAM (NPI# 1003453473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003453473
Entity Type Individual
Full Name MS. ELIZABETH SUBRAMANIAM
Credential MA
Practice Address 658 Grand Ave
Saint Paul
MN 55105-3417
Mailing Address 9025 W 31st St
St Louis Park
MN 55426-2969
Practice Telephone 6129202030
Mailing Telephone 6123876596
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 658 GRAND AVE
City SAINT PAUL
State MN
Zip Code 55105-3417

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1487059689 Jennifer Mason Lactation Consultant, Non-RN 1382 Summit Ave, Saint Paul, MN 55105 2014-10-30
1679818850 Marc Lane Wolfson Registered Nurse 1148 Grand Avenue, St. Paul, MN 55105 2012-11-29
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1871867549 Stacia Hanson Ma Lp LLC Psychologist 889 Grand Avenue, Suite 203, St Paul, MN 55105 2012-02-28
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1841833423 Autism Center Counselor 1821 University Ave W Ste 219, Saint Paul, MN 55104-2892 2019-10-25
1518523497 Angela Marie Blesener Counselor 1821 University Ave W Ste 385, Saint Paul, MN 55104-2872 2019-05-15
1508339821 Integrative Wellness Counseling LLC Counselor 1619 Dayton Ave Ste 112, Saint Paul, MN 55104-6276 2019-01-09
1598233074 Veasna Pho Counselor 777 Raymond Ave, Saint Paul, MN 55114-1522 2018-11-02
1366925828 Amy Stoks Counselor 493 Selby Ave, Saint Paul, MN 55102-1726 2018-09-11
1396225140 Anney Lyons Counselor 1884 Como Ave, Saint Paul, MN 55108-2715 2018-08-20
1073005120 Northstar Mental Health Services LLC Counselor 1932 University Ave W, Saint Paul, MN 55104-3426 2018-06-05
1891294138 Twin Cities Center for Validation and Change Pllc Counselor 790 Cleveland Ave S Ste 211, Saint Paul, MN 55116-3845 2018-02-01
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Competitor

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City SAINT PAUL
Zip Code 55105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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