Individual
ELAINE VIVIAN HUSELID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
14579 GRAND AVE, SUITE 200, BURNSVILLE, MN 55306-5702
(952) 797-3169
(952) 426-1725
Mailing address
1641 W 140TH ST, BURNSVILLE, MN 55337-4418
(952) 797-3169
(952) 426-1725
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
3047
MN
1041C0700X
Clinical Social Worker
Primary
6542
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020012
BHP PROVIDER #
MN
01
—
14D35HU AND 14D36HU
BCBS PROVIDER #
MN
01
—
62-37268
UBH PROVIDER #
MN
01
—
HP 28356
HEALTH PARTNER'S PROVIDER
MN
Enumeration date
12/18/2006
Last updated
09/11/2025
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