Provider Demographics
NPI:1528430832
Name:SAUNDERS, ELIZABETH (MA, LPCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:NYENHUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3800 AMERICAN BLVD W STE 1500
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-4429
Mailing Address - Country:US
Mailing Address - Phone:612-361-7103
Mailing Address - Fax:612-416-1920
Practice Address - Street 1:3800 AMERICAN BLVD W STE 1500
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-4429
Practice Address - Country:US
Practice Address - Phone:612-361-7103
Practice Address - Fax:612-416-1920
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1528430832Medicaid