Northland Therapy Center

LBN: Midtown Management Ltd
Northland Therapy Center is an health care organization with primary practice located at 2324 University Ave W, Ste 100 , St Paul MN 55114-1854. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Midtown Management Ltd can be contacted via phone (651) 641-1009, or through Wagner, James via phone (651) 641-1009.

Contact Information

Primary practice address
2324 University Ave W, Ste 100 St Paul MN 55114-1854
Phone: (651) 641-1009
Fax: (651) 789-5677
Website:
Map and Directions
Authorized official contact:
Name: Wagner, James LMFT
Phone: (651) 641-1009

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 3528 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 2149 Minnesota

Profile Details

NPI number 1568585420
LBN Legal business name Midtown Management Ltd
DBA Doing business as Northland Therapy Center
Authorized official Wagner, James LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2007
Last updated Mar 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568585420 NPPES
Minnesota MEDICAID 876248100

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