Eagan Counseling Clinic

LBN: Eagan Counseling Clinic
Eagan Counseling Clinic is an health care organization with primary practice located at 3450 Oleary Ln , Eagan MN 55123-2340. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Agencies / Case Management. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Eagan Counseling Clinic can be contacted via phone (651) 454-0114, or through Dominic, Peggy via phone (651) 365-8217.

Contact Information

Primary practice address
3450 Oleary Ln Eagan MN 55123-2340
Phone: (651) 454-0114
Fax: (651) 454-3492
Website:
Map and Directions
Authorized official contact:
Name: Dominic, Peggy
Phone: (651) 365-8217

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 800689-2-MHC Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 800689-2-MHC Minnesota
Agencies / Case Management 251B00000X 800689-2-MHC Minnesota

Profile Details

NPI number 1144311184
LBN Legal business name Eagan Counseling Clinic
DBA Doing business as
Authorized official Dominic, Peggy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 10th, 2008 - about 16 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 1144311184 NPPES
Minnesota Other 800084 PREFERRED ONE
Minnesota Other 59280EA PREFERRED ONE
Minnesota Other 00892 PREFERRED ONE
Minnesota Other 101973 PREFERRED ONE
Minnesota Other 84-57408 PREFERRED ONE

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