| Randi Joy Butwin, LMFT | |
|
701 Hewitt Blvd, Red Wing, MN 55066-2848 | |
| (651) 267-5000 | |
| Not Available |
| Full Name | Randi Joy Butwin |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 701 Hewitt Blvd, Red Wing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740864503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4418 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 123349 (California) | Secondary |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Randi Joy Butwin, LMFT 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 | Randi Joy Butwin, LMFT 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |
Mr. Ralph Simcox, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 Tyler Rd S, Red Wing, MN 55066 Phone: 651-977-5001 | |
Ms. Michelle Denise Moser, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 309 Bush St, Suite #1, Red Wing, MN 55066 Phone: 651-301-1369 Fax: 651-388-4850 | |
Abby Janelle Villaran, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 426 West Ave, Red Wing, MN 55066 Phone: 651-385-3232 |