# KIM SURVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215562921
- **Authorized official:** KIMBERLY SURVE MA LMFT (MANAGER)
- **Authorized official phone:** (612) 396-8305

## Contact information

- **Practice address:** 900 LONG LAKE RD STE 320, NEW BRIGHTON, MN 55112-6439
- **Practice address phone:** (651) 482-9361
- **Mailing address:** 786 CANNON AVE, SHOREVIEW, MN 55126-3827
- **Mailing address phone:** (612) 396-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/04/2020