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COMMUNITY ONE LLC NPI 1417612839


NPI Information

NPI: 1417612839
Provider Name: COMMUNITY ONE LLC

Doing Business As: COMMUNITY ONE LLC

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
11972 PORTLAND AVE
BURNSVILLE, MN
ZIP 55337
Phone: (507) 319-1906
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COMMUNITY ONE LLC is a counselor in Burnsville, MN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. COMMUNITY ONE LLC NPI is 1417612839. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community One Llc.

The provider's business location address is:

11972 PORTLAND AVE
BURNSVILLE, MN
ZIP 55337-516
Phone: (507) 319-1906
Fax: (651) 344-4378

The provider's authorized official is Hodan H Roble .
The authorized official title is Executive Director and has the following contact phone number (507) 319-1906.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 4/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

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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