KINGDOM IN ACTION NPI 1841698339

NPI Information

NPI: 1841698339
Provider Name: KINGDOM IN ACTION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
9500 MINNETONKA BLVD
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 933-4808
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KINGDOM IN ACTION is an addiction (substance use disorder) counselor in St Louis Park, MN. KINGDOM IN ACTION NPI is 1841698339. The provider is registered as an organization entity type.

The provider's business location address is:

9500 MINNETONKA BLVD
ST LOUIS PARK, MN
ZIP 55426-944
Phone: (952) 933-4808

The provider's authorized official is Reginald Fitzgerald Lewis .
The authorized official title is Executive Director and has the following contact phone number (952) 933-4808.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 3/6/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	302F00000X	Exclusive Provider Organization		1075563	MINNESOTA	No
2	101Y00000X	Counselor		1075563-2-CDT	MINNESOTA	No
3	101YM0800X	Counselor	Mental Health	1075563-2-CDT	MINNESOTA	No
4	101YP1600X	Counselor	Pastoral	1075563-2-CDT	MINNESOTA	No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	1075563-2-CDT	MINNESOTA	No
6	103TC0700X	Psychologist	Clinical	1075563-2-CDT	MINNESOTA	No
7	103TC1900X	Psychologist	Counseling	1075563-2-CDT	MINNESOTA	No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1075563-2-CDT	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: 11/14/2023

NPI Synchronization or Removal

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