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CLR COUNSELING NPI 1568973535


NPI Information

NPI: 1568973535
Provider Name: CLR COUNSELING

Doing Business As: CATHERINE RUSSELL COUNSELING

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1409 WILLOW ST STE 305
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 325-1905
Get Directions

CLR COUNSELING is an adult mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CLR COUNSELING NPI is 1568973535. The provider is registered as an organization entity type.
The provider Is Doing Business As Catherine Russell Counseling.

The provider's business location address is:

1409 WILLOW ST STE 305
MINNEAPOLIS, MN
ZIP 55403-289
Phone: (612) 325-1905
Fax: (888) 314-7340

The provider's authorized official is Catherine Lenore Russell .
The authorized official title is Owner and has the following contact phone number (612) 325-1905.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 10/19/2017.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11235550575MEDICAIDMINNESOTA

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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