Pathways Autism Center Llc

LBN: Pathways Autism Center Llc
Pathways Autism Center Llc is an health care organization with primary practice located at 2021 E Hennepin Ave Ste 155 , Minneapolis MN 55413-1772. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Pathways Autism Center Llc can be contacted via phone (612) 481-0934, or through Abumunye, Ibrahim via phone (612) 481-0934.

Contact Information

Primary practice address
2021 E Hennepin Ave Ste 155 Minneapolis MN 55413-1772
Phone: (612) 481-0934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abumunye, Ibrahim
Phone: (612) 481-0934

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1952945180
LBN Legal business name Pathways Autism Center Llc
DBA Doing business as
Authorized official Abumunye, Ibrahim
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2019
Last updated Oct 31st, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952945180 NPPES
Minnesota MEDICAID 01

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