Linda K Gordon

LBN: Qol Guidance Pc
Linda K Gordon is an health care organization with primary practice located at 4651 Nicols Rd Suite 102A, Eagan MN 55122-3336. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Qol Guidance Pc can be contacted via phone (651) 688-3168, or through Gordon, Linda K via phone (651) 688-3168.

Contact Information

Primary practice address
4651 Nicols Rd Suite 102A Eagan MN 55122-3336
Phone: (651) 688-3168
Fax: (651) 688-3583
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Linda K MA LP LADC
Phone: (651) 688-3168

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3677 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LADC300273 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3677 Minnesota

Profile Details

NPI number 1629159678
LBN Legal business name Qol Guidance Pc
DBA Doing business as Linda K Gordon
Authorized official Gordon, Linda K MA LP LADC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
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 1629159678 NPPES
Minnesota Other 499R3QO BLUE CROSS BLUE SHIELD
Minnesota Other 6254046 BLUE CROSS BLUE SHIELD
Minnesota Other 7496066 BLUE CROSS BLUE SHIELD

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