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Contact Information

QOL GUIDANCE PC
4651 NICOLS RD
SUITE 102A
EAGAN, MN55122-3336
 Phone: 651-688-3168
 Fax: 651-688-3583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for QOL GUIDANCE PC

NPI # 1629159678
LBN Legal business name QOL GUIDANCE PC
Authorized official LINDA GORDON - (OWNER PRESIDENT SOLE EMPLOYEE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # LADC300273
MN License # LP3677
MN Other 7496066 AETNA
MN Other 499R3QO BLUE CROSS BLUE SHIELD
MN Other 6254046 UNITED BEHAVIORAL HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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