PAMELA RUTH BAILLIE-JOHNSON (NPI# 1629001532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629001532 |
Entity Type | Individual |
Full Name | PAMELA RUTH BAILLIE-JOHNSON |
Other Name | PAMELA RUTH BAILLIE |
Credential | MA, LMFT |
Practice Address |
4815 Burning Tree Rd Ste 106 Duluth MN 55811-3800 |
Practice Telephone | 2184640908 |
Practice Fax Number | 2187224400 |
Mailing Telephone | 2184640908 |
Mailing Fax Number | 2187224400 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 1267 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 630131200 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
306 W Superior St, Suite 403, Duluth, MN 558021803 | 2187224379 | 2187224333 |
Street Address |
4815 BURNING TREE RD STE 106 |
City | DULUTH |
State | MN |
Zip Code | 55811-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
Find all providers in zip 55811 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667631 | Brittany L Denucci | Marriage & Family Therapist | 324 W Superior St Ste 828, Duluth, MN 55802-1719 | 2020-10-20 |
1194273441 | Shequita Moxey | Marriage & Family Therapist | 10206 Woodiron Dr, Duluth, GA 30097-3763 | 2016-09-15 |
1194140616 | Theresa Mosley | Marriage & Family Therapist | 2392 Harpers Way, Duluth, GA 30097-5176 | 2014-02-19 |
1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
1831339076 | Kathleen Rodne | Marriage & Family Therapist | 1731 Kenwood Ave, Duluth, MN 55811-2248 | 2009-02-28 |
1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
1639247281 | Neal Walter Kuhlhorst | Marriage & Family Therapist | 10950 Bell Rd, Duluth, GA 30097-1908 | 2006-12-01 |
1568430635 | Raymone Kral & Associates LLC | Marriage & Family Therapist | 202 W Superior St, Suite 700, Duluth, MN 55802-1936 | 2006-03-14 |
1669087797 | Center for Family Wellness | Marriage & Family Therapist | 324 W Superior St, 828 Medical Arts Building, Duluth, MN 55802-1701 | 2020-09-15 |
1154953180 | Celleste Schnellbach | Marriage & Family Therapist | 1406 E 2nd St, Duluth, MN 55805-2378 | 2020-02-07 |
Find all providers in DULUTH |
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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.