Provider Demographics
NPI:1811086929
Name:HOVE, BARBARA RAE (LICSW, CEAP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:RAE
Last Name:HOVE
Suffix:
Gender:F
Credentials:LICSW, CEAP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12182 GRANDVIEW TER
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-9768
Mailing Address - Country:US
Mailing Address - Phone:952-686-2809
Mailing Address - Fax:952-686-2819
Practice Address - Street 1:4660 SLATER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4047
Practice Address - Country:US
Practice Address - Phone:651-287-1480
Practice Address - Fax:952-686-2819
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN143357OtherBHP/UCARE
MN62-50810OtherUBH
MN26D19BAOtherBLUE CROSS/BLUE SHIELD