Kairos Therapy Institute

LBN: Kairos Therapy Institute
Kairos Therapy Institute is an health care organization with primary practice located at 8609 Lyndale Ave S Ste 110 , Bloomington MN 55420-2733. 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. Kairos Therapy Institute can be contacted via phone (612) 688-5968, or through Grambush, Ruth via phone (651) 357-5164.

Contact Information

Primary practice address
8609 Lyndale Ave S Ste 110 Bloomington MN 55420-2733
Phone: (612) 688-5968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grambush, Ruth MA, LAMFT
Phone: (651) 357-5164

Health care specialties

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

Profile Details

NPI number 1356006290
LBN Legal business name Kairos Therapy Institute
DBA Doing business as
Authorized official Grambush, Ruth MA, LAMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356006290 NPPES
Minnesota MEDICAID 4095

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