| Brittni Amanda Ingvaldson, | |
|
17645 Juniper Path Ste 105, Lakeville, MN 55044-7491 | |
| (952) 600-8191 | |
| Not Available |
| Full Name | Brittni Amanda Ingvaldson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 17645 Juniper Path Ste 105, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922772383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 04654 (Minnesota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304240 (Minnesota) | Secondary |
| Entity Name | Panoramic Perspectives Therapy And Training Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619628054 PECOS PAC ID: 1557801636 Enrollment ID: O20240904004536 |
| Entity Name | Soulfully Rewritten Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699570713 PECOS PAC ID: 1557888484 Enrollment ID: O20250505002434 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittni Amanda Ingvaldson, 5241 Lincoln Dr Apt 113, Edina, MN 55436-2701 Ph: (507) 363-1672 | Brittni Amanda Ingvaldson, 17645 Juniper Path Ste 105, Lakeville, MN 55044-7491 Ph: (952) 600-8191 |
Heather Leann Wegner, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10567 165th St W, Lakeville, MN 55044 Phone: 527-679-3749 Fax: 855-538-0663 | |
Anna Marie Groen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St. W.,, Lakeville, MN 55044 Phone: 952-564-6281 Fax: 952-435-6797 | |
Jennifer Tessness, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Kelly Lee Wilkinson, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 18484 Kachina Ct, Lakeville, MN 55044 Phone: 952-993-8800 | |
Ms. Julia Swedberg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10591 165th St W, Lakeville, MN 55044 Phone: 952-898-1133 Fax: 952-435-6797 | |
Tracy Kotval, MA, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10535 165th St W, Lakeville, MN 55044 Phone: 612-787-2297 |