SHELLY SYMONS LLC NPI 1306337431

NPI Information

NPI: 1306337431
Provider Name: SHELLY SYMONS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
312 N CENTRAL AVE STE 500
DULUTH, MN
ZIP 55807
Phone: (218) 464-1759
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SHELLY SYMONS, LLC is a mental health (including community mental health center) clinic center in Duluth, MN. SHELLY SYMONS, LLC NPI is 1306337431. The provider is registered as an organization entity type.

The provider's business location address is:

312 N CENTRAL AVE STE 500
DULUTH, MN
ZIP 55807-546
Phone: (218) 464-1759

The provider's authorized official is Michelle Symons .
The authorized official title is Psychotherapist and has the following contact phone number (218) 343-7548.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1017668300021	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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