Mental Health Clinic
LBN: South Metro Human Services
Mental Health Clinic is an health care organization with primary practice located at 166 4Th St E , Saint Paul MN 55101-1421. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
South Metro Human Services can be contacted via phone (651) 291-1979, or through Paul, Tom via phone (651) 256-1234.
Contact Information
Primary practice address
166 4Th St E
Saint Paul MN 55101-1421
Phone: (651) 291-1979
Fax: (651) 291-7378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1578642757 |
|---|---|
| LBN Legal business name | South Metro Human Services |
| DBA Doing business as | Mental Health Clinic |
| Authorized official | Paul, Tom |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 21st, 2015 - about 9 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 | 1578642757 | NPPES |
| Minnesota | MEDICAID | 719178200 |
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