Phoenix Mental Health, P.L.C.

LBN: Phoenix Mental Health, P.L.C.
Phoenix Mental Health, P.L.C. is an health care organization with primary practice located at 1911 Nicollet Ave # 210 , Minneapolis MN 55403-3747. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Phoenix Mental Health, P.L.C. can be contacted via phone (612) 501-6807, or through Jones, Jeffrey Shea via phone (612) 501-6807.

Contact Information

Primary practice address
1911 Nicollet Ave # 210 Minneapolis MN 55403-3747
Phone: (612) 501-6807
Fax: (866) 591-9475
Website:
Map and Directions
Authorized official contact:
Name: Jones, Jeffrey Shea
Phone: (612) 501-6807

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 18233 Minnesota
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1831329564
LBN Legal business name Phoenix Mental Health, P.L.C.
DBA Doing business as
Authorized official Jones, Jeffrey Shea
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2009
Last updated Jul 15th, 2022 - 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 1831329564 NPPES
Minnesota MEDICAID 1831329564

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