Dawn Draayer-Thibodeau, Llc

LBN: Dawn Draayer-Thibodeau, Llc
Dawn Draayer-Thibodeau, Llc is an health care organization with primary practice located at 4500 Park Glen Rd Suite 155, St Louis Park MN 55416-4871. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dawn Draayer-Thibodeau, Llc can be contacted via phone (952) 334-1213, or through Draayer-Thibodeau, Dawn Diana via phone (952) 334-1213.

Contact Information

Primary practice address
4500 Park Glen Rd Suite 155 St Louis Park MN 55416-4871
Phone: (952) 334-1213
Fax: (952) 928-9774
Website:
Map and Directions
Authorized official contact:
Name: Draayer-Thibodeau, Dawn Diana MSW, LICSW
Phone: (952) 334-1213

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15185 Minnesota

Profile Details

NPI number 1235524521
LBN Legal business name Dawn Draayer-Thibodeau, Llc
DBA Doing business as
Authorized official Draayer-Thibodeau, Dawn Diana MSW, LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2015
Last updated Apr 2nd, 2015 - about 10 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 1235524521 NPPES
Minnesota MEDICAID 78612312-00

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