Expanse Mn

LBN: Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
Expanse Mn is an health care organization with primary practice located at 7766 Highway 65 Ne , Spring Lake Park MN 55432-2832. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother can be contacted via phone (612) 296-0317, or through Brandt, Paula Louise via phone (612) 296-0317.

Contact Information

Primary practice address
7766 Highway 65 Ne Spring Lake Park MN 55432-2832
Phone: (612) 296-0317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brandt, Paula Louise LSW
Phone: (612) 296-0317

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1528726775
LBN Legal business name Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother
DBA Doing business as Expanse Mn
Authorized official Brandt, Paula Louise LSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2021
Last updated May 10th, 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.

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