Family Life Mental Health Center

LBN: Family Life Mental Health Center
Family Life Mental Health Center is an health care organization with primary practice located at 1930 Coon Rapids Blvd Nw , Coon Rapids MN 55433-4708. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Family Life Mental Health Center can be contacted via phone (763) 427-7964, or through Sullivan, Robert via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Robert LICSW
Phone: (763) 427-7964

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8 Minnesota

Profile Details

NPI number 1760489751
LBN Legal business name Family Life Mental Health Center
DBA Doing business as
Authorized official Sullivan, Robert LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1760489751 NPPES
Minnesota Other 62-20356 UBH
Minnesota Other 04358FA UBH
Minnesota Other 1023452 UBH
Minnesota Other 106982 UBH
Minnesota Other 3868 UBH

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