Bonham Psychotherapy Services

LBN: Bonham Psychotherapy Services
Bonham Psychotherapy Services is an health care organization with primary practice located at 22991 Kolp Rd , Grand Rapids MN 55744-6134. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Bonham Psychotherapy Services can be contacted via phone (218) 256-0958, or through Bonham, Darra A via phone (218) 256-0958.

Contact Information

Primary practice address
22991 Kolp Rd Grand Rapids MN 55744-6134
Fax:
Website:
Authorized official contact:
Name: Bonham, Darra A MSW, LICSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457127722
LBN Legal business name Bonham Psychotherapy Services
DBA Doing business as
Authorized official Bonham, Darra A MSW, LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2023
Last updated Jan 26th, 2024 - about 10 months 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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