Provision Mental Health Services Llc

LBN: Provision Mental Health Services Llc
Provision Mental Health Services Llc is an health care organization with primary practice located at 4001 Stinson Blvd Suite 300, St. Anthony MN 55421-3488. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Provision Mental Health Services Llc can be contacted via phone (612) 401-1786, or through Farah, Maryan via phone (612) 401-1786.

Contact Information

Primary practice address
4001 Stinson Blvd Suite 300 St. Anthony MN 55421-3488
Phone: (612) 401-1786
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farah, Maryan
Phone: (612) 401-1786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1427611318
LBN Legal business name Provision Mental Health Services Llc
DBA Doing business as
Authorized official Farah, Maryan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Nov 24th, 2021 - 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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