MS. SUSAN MARIE DAUB


Address: 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885
Phone: 6124242541

MS. SUSAN MARIE DAUB (NPI# 1891322277) 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) 1891322277
Entity Type Individual
Full Name MS. SUSAN MARIE DAUB
Credential LADC
Practice Address 1330 Lagoon Ave Fl 4
Minneapolis
MN 55408-2885
Mailing Address 11832 Mount Curve Rd
Eden Prairie
MN 55347-2928
Practice Telephone 6124242541
Mailing Telephone 6122827518
Enumeration Date 2020-03-25
Last Update Date 2020-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
305064 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1330 LAGOON AVE FL 4
City MINNEAPOLIS
State MN
Zip Code 55408-2885

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1346735875 Nicole S Ehrenberg Social Worker 324 E 35th Street, Minneapolis, MN 55408 2018-06-27
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356949432 Ives Kenneth Wittman Counselor 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 2020-10-12
1194331397 Link Psychotherapy Ltd Counselor 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 2020-09-22
1538775143 Elise Nathalie Meger Counselor 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 2020-09-18
1508472341 Healing Path Center, LLC Counselor 2203 James Ave N, Minneapolis, MN 55411-1930 2020-09-17
1386258143 Breakthrough Therapy Center, LLC Counselor 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 2020-08-31
1740893957 Amzie Elizabeth Reeves Counselor 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 2020-08-26
1548870512 Community Solutions Services Inc Counselor 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 2020-08-05
1063020931 Grandpa & Grandma Adult Day Care, Inc. Counselor 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 2020-07-16
1932724812 Demi Rose Mancini Counselor 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 2020-06-16
1154961894 Steven James Stadler Counselor 7831 E Bush Lake Rd Ste 200, Minneapolis, MN 55439-3131 2020-01-10
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Competitor

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City MINNEAPOLIS
Zip Code 55408

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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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