Molly Marie Bartusch, MA
Individual provider Active NPI Marriage & Family Therapist · Minneapolis, MN
NPI 1124374152 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1124374152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000356 (IA)
- Practice address
- 525 Portland Ave South
Minneapolis, MN 55415-1569 - Phone
- (612) 596-7898
- Fax
- (612) 677-6357
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000356 | IA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000356 | IA | Yes |
Addresses
Primary practice location
525 Portland Ave South
Minneapolis, MN 55415-1569
Mailing address
525 Portland Ave South
Minneapolis, MN 55415-1569
Phone (612) 596-7898
Other providers in Minneapolis, MN
- Jean C Barton
- Tab Josh Barton
- Cynthia Bartoo
- Jason Alan Bartos
- John David Bartsh
- Sydney Bartz
- Barud Home Health Care LLC
- Ayan Barud
- Hodan Barud
- Mohamed Barud
All providers in Minneapolis, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.