Blue Iris Center For Therapeutic Services, Llc
LBN: Blue Iris Therapy, Pllc
Blue Iris Center For Therapeutic Services, Llc is an health care organization with primary practice located at 6437 Lyndale Ave S Suite 101, Richfield MN 55423-1465. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Blue Iris Therapy, Pllc can be contacted via phone (612) 455-4040, or through Chikazawa-Nelson, Grant D via phone (612) 655-9776.
Contact Information
Primary practice address
6437 Lyndale Ave S Suite 101
Richfield MN 55423-1465
Phone: (612) 455-4040
Fax: (612) 455-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 943 | Minnesota |
Profile Details
| NPI number | 1649564188 |
|---|---|
| LBN Legal business name | Blue Iris Therapy, Pllc |
| DBA Doing business as | Blue Iris Center For Therapeutic Services, Llc |
| Authorized official | Chikazawa-Nelson, Grant D PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Jun 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649564188 | NPPES |
| Minnesota | Other | 227349918 | MEDICA-UBH |
| Minnesota | Other | 540521 | MEDICA-UBH |
| Minnesota | Other | 143645 | MEDICA-UBH |
| Minnesota | MEDICAID | 529100300 | MEDICA-UBH |
| Minnesota | Other | 550045 02 | MEDICA-UBH |
| Minnesota | Other | 69B22CH | MEDICA-UBH |
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