Center For Integrated Well Being Inc

LBN: Center For Integrated Well Being Inc
Center For Integrated Well Being Inc is an health care organization with primary practice located at 1449 Grand Ave , Saint Paul MN 55105-2206. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Center For Integrated Well Being Inc can be contacted via phone (651) 698-0768, or through Jeanetta Wark, Jeffry David via phone (651) 698-0768.

Contact Information

Primary practice address
1449 Grand Ave Saint Paul MN 55105-2206
Phone: (651) 698-0768
Fax: (651) 698-0660
Website:
Map and Directions
Authorized official contact:
Name: Jeanetta Wark, Jeffry David MA LICSW
Phone: (651) 698-0768

Health care specialties

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

Profile Details

NPI number 1053485003
LBN Legal business name Center For Integrated Well Being Inc
DBA Doing business as
Authorized official Jeanetta Wark, Jeffry David MA LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 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 1053485003 NPPES
Other 13GS2WA BCBS
Other 483889 BCBS

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