Organization
BRIAN ZIRNGIBLE, LLC
Active
Parent organization
BRIAN ZIRNGIBLE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN ZIRNGIBLE, LLC
Authorized official
BRIAN ZIRNGIBLE M.A., L.M.F.T. (OWNER)
(952) 892-1200
Entity
Organization
Contact information
Practice address
1500 MCANDREWS RD W, BURNSVILLE, MN 55337-4432
(952) 892-1200
(952) 892-1722
Mailing address
1500 MCANDREWS RD W, BURNSVILLE, MN 55337-4432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587607200
—
MN
Enumeration date
01/27/2016
Last updated
01/27/2016
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