Lisa Peterson

NPI 1457162786 · on the registry since 2025

Practice

Address: 7760 France Ave S Ste 210
Bloomington, MN 55435
Phone: (218) 624-1330
Organisation at this address: Stonebridge Mental Health Llc
Maverick Healthcare Services Llc
Redwood Behavioral Health Services Llc
Thousand Branches Professionals Florida Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 172V00000X
172V00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota