Crosstown Counseling, Plc

LBN: Crosstown Counseling, Plc
Crosstown Counseling, Plc is an health care organization with primary practice located at 5939 Portland Ave , Minneapolis MN 55417-3127. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Crosstown Counseling, Plc can be contacted via phone (612) 866-6100, or through Smith, Mark W via phone (612) 866-6100.

Contact Information

Primary practice address
5939 Portland Ave Minneapolis MN 55417-3127
Phone: (612) 866-6100
Fax: (612) 866-9379
Website:
Map and Directions
Authorized official contact:
Name: Smith, Mark W LICSW
Phone: (612) 866-6100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Minnesota
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1356453211
LBN Legal business name Crosstown Counseling, Plc
DBA Doing business as
Authorized official Smith, Mark W LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 17th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356453211 NPPES
Minnesota Other 102R3CR BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 163639100 BLUE CROSS BLUE SHIELD

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