Bonnie Brae Psychotherapy Llc

LBN: Bonnie Brae Psychotherapy Llc
Bonnie Brae Psychotherapy Llc is an health care organization with primary practice located at 821 Raymond Ave Ste 440 , Saint Paul MN 55114-1525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bonnie Brae Psychotherapy Llc can be contacted via phone (612) 552-7023, or through Schaeffer, Michael via phone (612) 618-6268.

Contact Information

Primary practice address
821 Raymond Ave Ste 440 Saint Paul MN 55114-1525
Phone: (612) 552-7023
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schaeffer, Michael
Phone: (612) 618-6268

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1831704816
LBN Legal business name Bonnie Brae Psychotherapy Llc
DBA Doing business as
Authorized official Schaeffer, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2020
Last updated Sep 15th, 2020 - about 4 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 1831704816 NPPES
Minnesota MEDICAID 1336422161

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