Blooming Prairie Assessment & Therapy Center P.C.

LBN: Blooming Prairie Assessment & Therapy Center P.C.
Blooming Prairie Assessment & Therapy Center P.C. is an health care organization with primary practice located at 211 4Th St Ne Ste 4, Devils Lake ND 58301-2479. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Blooming Prairie Assessment & Therapy Center P.C. can be contacted via phone (701) 662-8255, or through Kenney, Sara K via phone (701) 662-8255.

Contact Information

Primary practice address
211 4Th St Ne Ste 4 Devils Lake ND 58301-2479
Fax: (701) 662-1739
Website:
Authorized official contact:
Name: Kenney, Sara K PSYD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 377 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 464 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4370 North Dakota

Profile Details

NPI number 1649461344
LBN Legal business name Blooming Prairie Assessment & Therapy Center P.C.
DBA Doing business as
Authorized official Kenney, Sara K PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2007
Last updated Apr 17th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649461344 NPPES
North Dakota Other 6978-001 BCBS OF ND
North Dakota Other 600066 BCBS OF ND
North Dakota MEDICAID 14303 BCBS OF ND

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