Path Trauma And Stress Clinic
LBN: Nexus-Path Family Healing
Path Trauma And Stress Clinic is an health care organization with primary practice located at 1202 Westrac Dr S Ste 400 , Fargo ND 58103-2356. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Nexus-Path Family Healing can be contacted via phone (701) 280-9545, or through Baukol, Karen via phone (701) 551-6318.
Contact Information
Primary practice address
1202 Westrac Dr S Ste 400
Fargo ND 58103-2356
Phone: (701) 280-9545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1982117602 |
|---|---|
| LBN Legal business name | Nexus-Path Family Healing |
| DBA Doing business as | Path Trauma And Stress Clinic |
| Authorized official | Baukol, Karen PHR |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 16th, 2017 |
| Last updated | May 13th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982117602 | NPPES |
| North Dakota | MEDICAID | 1459676 | |
| North Dakota | MEDICAID | 1472885 |
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