Bristlecone Health

LBN: Bristlecone To Go, Inc.
Bristlecone Health is an health care organization with primary practice located at 13700 Reimer Dr N Suite 220, Maple Grove MN 55311-4580. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty. Bristlecone To Go, Inc. can be contacted via phone (763) 424-2474, or through Gomer, Julie via phone (763) 913-4600.

Contact Information

Primary practice address
13700 Reimer Dr N Suite 220 Maple Grove MN 55311-4580
Phone: (763) 424-2474
Fax: (763) 424-2711
Website:
Map and Directions
Authorized official contact:
Name: Gomer, Julie Licensed Professional Counselor (LPC)
Phone: (763) 913-4600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 01666 Minnesota
Behavioral Health & Social Service Providers / Counselor 101Y00000X 01664 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01664 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01666 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 01664 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 01666 Minnesota
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 01664 Minnesota
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 01666 Minnesota
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 01666 Minnesota
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 01664 Minnesota

Profile Details

NPI number 1134665748
LBN Legal business name Bristlecone To Go, Inc.
DBA Doing business as Bristlecone Health
Authorized official Gomer, Julie Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2017
Last updated Jan 6th, 2017 - about 7 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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