Charme S. Davidson, Llc

LBN: Charme S. Davidson, Llc
Charme S. Davidson, Llc is an health care organization with primary practice located at 211 N 1St St Ste 285 , Minneapolis MN 55401-1480. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Charme S. Davidson, Llc can be contacted via phone (612) 870-0510, or through Davidson, Charme S. S. via phone (612) 870-0510.

Contact Information

Primary practice address
211 N 1St St Ste 285 Minneapolis MN 55401-1480
Phone: (612) 870-0510
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Charme S. S. PH.D.
Phone: (612) 870-0510

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2642 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1588748982
LBN Legal business name Charme S. Davidson, Llc
DBA Doing business as
Authorized official Davidson, Charme S. S. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 7th, 2021 - about 3 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 1588748982 NPPES
Minnesota Other 1285687889 INDIVIDUAL NPI
Minnesota MEDICAID 627547800 INDIVIDUAL NPI

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