Individual
MS. LISA JEAN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7400 METRO BLVD STE 220, EDINA, MN 55439-2321
(952) 345-4510
(952) 835-5679
Mailing address
7400 METRO BLVD STE 220, EDINA, MN 55439-2321
(952) 345-4510
(952) 345-4518
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1353
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180P7ER
BCBSMN GROUP PROVIDER #
MN
01
—
98G51ER
BBSMN IND. PROVIDER #
MN
Enumeration date
04/03/2007
Last updated
05/04/2024
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