CENTRAL MN HEALING CENTER PLLC NPI 1396465977

NPI Information

NPI: 1396465977
Provider Name: CENTRAL MN HEALING CENTER, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7300 WOODSTOCK CURV
BLOOMINGTON, MN
ZIP 55438
Phone: (320) 766-6333
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CENTRAL MN HEALING CENTER, PLLC is a mental health counselor in Bloomington, MN. CENTRAL MN HEALING CENTER, PLLC NPI is 1396465977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7300 WOODSTOCK CURV
BLOOMINGTON, MN
ZIP 55438-363
Phone: (320) 766-6333

The provider's authorized official is Angie Williamson .
The authorized official title is Owner/therapist and has the following contact phone number (320) 766-6333.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10807300	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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