| Ms Kimberly Ann Lundholm-eades, MS, LMFT | |
|
7039 20th Ave, Centerville, MN 55038-9737 | |
| (651) 393-2830 | |
| (651) 393-2835 |
| Full Name | Ms Kimberly Ann Lundholm-eades |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 7039 20th Ave, Centerville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538253133 | NPI | - | NPPES |
| 011N6LU | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 942 (Minnesota) | Primary |
| Entity Name | Centerlife Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417283946 PECOS PAC ID: 0547391187 Enrollment ID: O20100626000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Ann Lundholm-eades, MS, LMFT 7039 20th Ave, Centerville, MN 55038-9737 Ph: (651) 393-2830 | Ms Kimberly Ann Lundholm-eades, MS, LMFT 7039 20th Ave, Centerville, MN 55038-9737 Ph: (651) 393-2830 |
Kimberly Kay Surve, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7039 20th Avenue South, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 | |
Jari Lynn Welle, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7039 20th Avenue South, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 | |
Mrs. Kasey Marie Reichow, MA LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 612-924-3807 | |
Aaron Merritt, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7039 20th Ave, Centerville, MN 55038 Phone: 651-288-0332 | |
Ms. Jennifer A Krizan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7239 Brian Dr, Centerville, MN 55038 Phone: 651-426-6078 | |
Linda Mcginnis, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7039 20th Avenue South, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 |