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MINNESOTA RECOVERY CONNECTION NPI 1821556614


NPI Information

NPI: 1821556614
Provider Name: MINNESOTA RECOVERY CONNECTION
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
2446 UNIVERSITY AVE W STE 112
SAINT PAUL, MN
ZIP 55114
Phone: (612) 584-4158
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MINNESOTA RECOVERY CONNECTION is a peer specialist in Saint Paul, MN. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MINNESOTA RECOVERY CONNECTION NPI is 1821556614. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2446 UNIVERSITY AVE W STE 112
SAINT PAUL, MN
ZIP 55114-740
Phone: (612) 584-4158
Fax: (612) 886-3940

The provider's authorized official is Tiffany Da'shay Irvin .
The authorized official title is Manager Of Peer Services and has the following contact phone number (651) 321-1100.

The enumeration date for this NPI number is 3/11/2019 and was last updated on 3/11/2019.


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
1175T00000XPeer SpecialistYes

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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