Vlw Llc

LBN: Vlw Llc
Vlw Llc is an health care organization with primary practice located at 4255 Pheasant Ridge Dr Ne Ste 412 , Blaine MN 55449-5066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Vlw Llc can be contacted via phone (612) 799-6652, or through Wirth, Amanda Adell via phone (612) 799-6652.

Contact Information

Primary practice address
4255 Pheasant Ridge Dr Ne Ste 412 Blaine MN 55449-5066
Phone: (612) 799-6652
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wirth, Amanda Adell LMFT
Phone: (612) 799-6652

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 3061 Minnesota

Profile Details

NPI number 1336628478
LBN Legal business name Vlw Llc
DBA Doing business as
Authorized official Wirth, Amanda Adell LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2018
Last updated Nov 17th, 2021 - 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 1336628478 NPPES
Minnesota MEDICAID 5724462

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