Larson, Carole (Nickey) Galush

Larson, Carole (Nickey) Galush is an sole proprietor health care provider with primary practice located at 7400 Metro Blvd Suite 215, Edina MN 55439-2316. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Larson, Carole (Nickey) Galush can be contacted via phone (952) 929-8432.

Contact Information

Primary practice address
7400 Metro Blvd Suite 215 Edina MN 55439-2316
Phone: (952) 929-8432
Fax: (952) 929-8432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300756 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1810 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 466 Minnesota

Profile Details

NPI number 1538202890
LBN Legal business name Larson, Carole (Nickey) Galush
Credentials PSYD LP LMFT LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Nov 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538202890 NPPES
Other 122275 HEALTH PARTNERS FINANCIAL
Other 46715LA HEALTH PARTNERS FINANCIAL
MEDICAID 563350800 HEALTH PARTNERS FINANCIAL
Other 46714LA HEALTH PARTNERS FINANCIAL

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