| Brittany Stark, MA, LMFT | |
|
5155 E River Rd Ste 401, Fridley, MN 55421-3777 | |
| (763) 780-3307 | |
| (763) 780-3306 |
| Full Name | Brittany Stark |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 5155 E River Rd Ste 401, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083248025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3876 (Minnesota) | Primary |
| Entity Name | Family Innovations Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Stark, MA, LMFT 5155 E River Rd Ste 401, Fridley, MN 55421-3777 Ph: (763) 780-3307 | Brittany Stark, MA, LMFT 5155 E River Rd Ste 401, Fridley, MN 55421-3777 Ph: (763) 780-3307 |
Catherine Marin, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-780-3307 Fax: 763-780-3306 | |
Matthew Brent Merriman, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 612-672-6999 | |
Mrs. Tricia K. Gibson, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
Emily Gail Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 952-546-4044 Fax: 888-675-8262 | |
Vonda Malone Tiede, MA MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Fridley, MN 55432 Phone: 763-786-8067 | |
William Leonard Hicks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Suite 208, Fridley, MN 55432 Phone: 763-786-8067 Fax: 763-786-5080 |