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BENEDICT A WALZ MS MDV MAC LADC LMFT NPI 1043376635


NPI Information

NPI: 1043376635
Provider Name: BENEDICT A WALZ, MS MDV MAC LADC LMFT
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
3333 W DIVISION ST
MIDTOWN SQUARE SUITE # 210
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 252-5781
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Benedict A Walz, MS MDV MAC LADC LMFT is a community behavioral health in Saint Cloud, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Benedict A Walz, MS MDV MAC LADC LMFT NPI is 1043376635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3333 W DIVISION ST
MIDTOWN SQUARE SUITE # 210
SAINT CLOUD, MN
ZIP 56301-515
Phone: (320) 252-5781
Fax: (320) 252-5001

The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/17/2010.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)302151MINNESOTANo
2101YM0800XCounselorMental HealthNo
3101YP1600XCounselorPastoralWISCONSINNo
4101YP2500XCounselorProfessional#1763 LMFTMINNESOTANo
5101YA0400XCounselorAddiction (Substance Use Disorder)#302151No
6101YP1600XCounselorPastoralNo
7101YP2500XCounselorProfessionalNo
8251S00000XCommunity/Behavioral Health1763No
9251S00000XCommunity/Behavioral Health1763 & 302151Yes

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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