Organization
COVERED BRIDGE FAMILY RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA KRISTIN SMOTHERS MSW LICSW (OWNER)
(507) 732-4136
Entity
Organization
Contact information
Practice address
77 WEST 5TH STREET, ZUMBROTA, MN 55992
(507) 732-4136
(888) 527-4602
Mailing address
PO BOX 134, ZUMBROTA, MN 55992
(507) 732-4136
(888) 527-4602
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131914
U CARE
—
01
—
560040500
MHCPR
—
01
—
694S3CO
BCBS
—
01
—
94362
HEALTH PTNRS
—
Enumeration date
07/17/2006
Last updated
05/28/2025
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