Invictus Psychotherapy Llc

LBN: Invictus Psychotherapy Llc
Invictus Psychotherapy Llc is an health care organization with primary practice located at 11181 Hillsboro Ave N , Champlin MN 55316-3128. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, 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. Invictus Psychotherapy Llc can be contacted via phone (612) 481-4049, or through Anderson, Samuel James via phone (612) 481-4049.

Contact Information

Primary practice address
11181 Hillsboro Ave N Champlin MN 55316-3128
Phone: (612) 481-4049
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Samuel James MSW LICSW
Phone: (612) 481-4049

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1295304947
LBN Legal business name Invictus Psychotherapy Llc
DBA Doing business as
Authorized official Anderson, Samuel James MSW LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Jun 17th, 2021 - 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.

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