Minneapolis Southwest Mental Health Clinic, Limited

LBN: Minneapolis Southwest Mental Health Clinic, Limited
Minneapolis Southwest Mental Health Clinic, Limited is an health care organization with primary practice located at 4010 W 65Th St Ste 101 , Edina MN 55435-1724. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Minneapolis Southwest Mental Health Clinic, Limited can be contacted via phone (952) 831-4499, or through Peterson, Dale Bremner via phone (952) 831-4499.

Contact Information

Primary practice address
4010 W 65Th St Ste 101 Edina MN 55435-1724
Fax:
Website:
Authorized official contact:
Name: Peterson, Dale Bremner MALP

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2893 Minnesota

Profile Details

NPI number 1649485111
LBN Legal business name Minneapolis Southwest Mental Health Clinic, Limited
DBA Doing business as
Authorized official Peterson, Dale Bremner MALP
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
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 1649485111 NPPES
Minnesota Other 11702MI BLUECROSSBLUESHIELD

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