Enrichment Therapy Services
LBN: Enrichment Therapy Services
Enrichment Therapy Services is an health care organization with primary practice located at 2115 Kimball Ave Nw , Annandale MN 55302-3229. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Enrichment Therapy Services can be contacted via phone (651) 301-8023, or through Emmick, Traci via phone (651) 442-1901.
Contact Information
Primary practice address
2115 Kimball Ave Nw
Annandale MN 55302-3229
Phone: (651) 301-8023
Fax: (612) 446-5778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1760264212 |
|---|---|
| LBN Legal business name | Enrichment Therapy Services |
| DBA Doing business as | |
| Authorized official | Emmick, Traci MA LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2023 |
| Last updated | Oct 19th, 2023 - about 2 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 | 1760264212 | NPPES |
| Minnesota | MEDICAID | 195283841 | |
| Minnesota | Other | 3487 |
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