Child Family Specialty Clinic, P.A.

LBN: Child Family Specialty Clinic, P.A.
Child Family Specialty Clinic, P.A. is an health care organization with primary practice located at 4826 Chicago Avenue South Ste 206, Minneapolis MN 55417. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Child Family Specialty Clinic, P.A. can be contacted via phone (612) 821-1920, or through Gilfix, Jeannie via phone (612) 821-1920.

Contact Information

Primary practice address
4826 Chicago Avenue South Ste 206 Minneapolis MN 55417
Phone: (612) 821-1920
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilfix, Jeannie
Phone: (612) 821-1920

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00215 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9839 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15301 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1075 Minnesota

Profile Details

NPI number 1376765529
LBN Legal business name Child Family Specialty Clinic, P.A.
DBA Doing business as
Authorized official Gilfix, Jeannie
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
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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