PROVIDENCE 99:1 NPI 1023952314

NPI Information

  • NPI: 1023952314
  • Provider Name: PROVIDENCE 99:1
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1330 LAGOON AVE FL 4
    MINNEAPOLIS, MN
    ZIP 55408
  • Phone: (651) 815-9714

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NPI Details

PROVIDENCE 99:1 is an addiction (substance use disorder) counselor in Minneapolis, MN. PROVIDENCE 99:1 NPI is 1023952314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1330 LAGOON AVE FL 4
MINNEAPOLIS, MN
ZIP 55408-885
Phone: (651) 815-9714

The provider's authorized official is Crysta Cadalbert Cadalbert .
The authorized official title is Owner and has the following contact phone number (651) 815-9714.

The enumeration date for this NPI number is 4/16/2026 and was last updated on 4/16/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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