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MYA MARIE BADILLO
NPI 1104660489
Counselor - Mental Health in Prior Lake, MN

Active since June 21, 2024
3733 FOX TAIL TRL NW, PRIOR LAKE, MN 55372(612) 438-9204 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mya Marie Badillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYA MARIE BADILLO (NPI 1104660489) is an individual mental health provider in Prior Lake, Minnesota and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1104660489
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMYA MARIE BADILLO
Location Address3733 FOX TAIL TRL NWPrior Lake, MN 55372-1698
Mailing Address3733 Fox Tail Trl NwPrior Lake, MN 55372-1698 · (612) 438-9204
Phone(612) 438-9204
Sole ProprietorNo
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1104660489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3733 FOX TAIL TRL NW, Prior Lake, MN 55372
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE THERAPY CENTER
Community/Behavioral Health
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (507) 350-2120
EMILY LYN SCHROEDER
Counselor (Mental Health)
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (507) 350-2120
SULEKA HASSANNUUR
Counselor (Mental Health)
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (507) 350-2120
KADRA KHALIF MOHAMED
Counselor (Mental Health)
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (612) 438-9204
ZAKARIA OSMAN ABDULLAHI
Counselor (Mental Health)
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (612) 438-9204
DANIELLE NICOLE SAFFEN
Community/Behavioral Health
3733 FOX TAIL TRL NW
PRIOR LAKE, MN 55372
Scott County (612) 438-9204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mya Badillo's NPI number?

The NPI number for Mya Badillo is 1104660489. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Mya Badillo located?

Mya Badillo practices at 3733 Fox Tail Trl NW, Prior Lake, MN 55372. The listed phone number is (612) 438-9204.

What is Mya Badillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mya Badillo was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.