EMILY LYNN-WOOD PAVLIK (NPI# 1962689554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962689554 |
| Entity Type | Individual |
| Full Name | EMILY LYNN-WOOD PAVLIK |
| Credential | LADC, LMFT |
| Practice Address |
4660 Slater Rd Suite 225 Eagan MN 55122 |
| Practice Telephone | (651) 246-8895 |
| Practice Fax Number | 6513447655 |
| Mailing Telephone | 6512468895 |
| Mailing Fax Number | 6513447655 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301842 | MN | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LMFT | 2221 | 01 |
| MN | LADC | 301842 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1911 Pleasant Ave. S., Create Inc., Minneapolis, MN 55403 | 6128749811 | 6128749820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013043744 | Emily Nell Pavlik | Emergency Medicine | 2200 Bergquist Dr, Wilford Hall Med Ctr, Ste 1,dept. of Emergency Medicine, Lackland A F B, TX 78236-9907 | 2007-02-26 |
| Street Address |
4660 SLATER RD SUITE 225 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649378019 | Roger A. Olsen Psy.d.,l.p., LLC | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2006-09-20 |
| 1922552249 | Lindsey Ann Holm | Psychologist | 4660 Slater Rd, Suite #210, Eagan, MN 55122-4047 | 2016-08-04 |
| 1346622784 | Unveiling Health LLC | In Home Supportive Care | 4660 Slater Rd, Suite 230, Eagan, MN 55122-4047 | 2015-06-22 |
| 1669873378 | Greta Smylie | Counselor | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2014-09-12 |
| 1205274990 | Annie Elizabeth Emanuel | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2013-06-05 |
| 1902130750 | Gregg M Poquette Bs Dc Pa | Clinic/Center | 4660 Slater Rd, Suite 140, Eagan, MN 55122-4047 | 2009-09-28 |
| 1033306147 | Gregg M Poquette B.s. D.c. P.a. | Clinic/Center | 4660 Slater Rd, Suite 140, Eagan, MN 55122-4047 | 2007-10-02 |
| 1396930210 | Beth Painter Harrington | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2007-09-13 |
| 1811017783 | Elaine Strauss Korsch | Counselor | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2007-04-02 |
| 1043347131 | Roger Olsen | Psychologist | 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982190773 | Eagan Hope Wellness Services LLC | Community/Behavioral Health | 4651 Nicols Rd Ste 206, Eagan, MN 55122-3424 | 2018-07-05 |
| 1508929191 | Dakota Communities Inc | Community/Behavioral Health | 680 Oneill Dr, Eagan, MN 55121-1535 | 2006-12-18 |
| 1518053834 | Family Adolescents and Children Therapy Services Inc. | Community/Behavioral Health | 4655 Nicols Rd, Ste 206, Eagan, MN 55122-3425 | 2006-10-05 |
| 1316324635 | Twin Cities Play Therapy Center | Community/Behavioral Health | 3440 Federal Dr Ste 150, Eagan, MN 55122-3516 | 2015-05-06 |
| 1053715805 | Minnesota Mental Health Clinics | Community/Behavioral Health | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2014-10-22 |
| 1285990002 | Peterson Counseling and Supervision, LLC | Community/Behavioral Health | 1585 Thomas Center Dr, 104, Eagan, MN 55122-3007 | 2012-04-05 |
| 1578700878 | Professional Psychological Services, Ltd | Community/Behavioral Health | 3352 Sherman Ct, Suite 104, Eagan, MN 55121-5003 | 2009-01-08 |
| 1114170404 | Sacred Spiral Resources LLC | Community/Behavioral Health | 4141 Old Sibley Memorial Hwy, Eagan, MN 55122-1996 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.