Developmental Impact Llc
LBN: Developmental Impact Llc
Developmental Impact Llc is an health care organization with primary practice located at 720 8Th Ave N , Saint Cloud MN 56303-3420. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Developmental Impact Llc can be contacted via phone (320) 420-2234, or through Schreifels, Theresa via phone (320) 420-2234.
Contact Information
Primary practice address
720 8Th Ave N
Saint Cloud MN 56303-3420
Phone: (320) 420-2234
Fax: (320) 251-0217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 2474 | Minnesota |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 2474 | Minnesota |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 2474 | Minnesota |
Profile Details
| NPI number | 1669901393 |
|---|---|
| LBN Legal business name | Developmental Impact Llc |
| DBA Doing business as | |
| Authorized official | Schreifels, Theresa LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669901393 | NPPES |
| Minnesota | MEDICAID | 1720327364 |
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