AVALON PROGRAMS LLC NPI 1104950591

NPI Information

  • NPI: 1104950591
  • Provider Name: AVALON PROGRAMS, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: AVALON - PROSPECT PARK
  • Address: 2800 UNIVERSITY AVE SE
    SUITE 202
    MINNEAPOLIS, MN
    ZIP 55414
  • Phone: (612) 638-2282

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NPI Details

AVALON PROGRAMS, LLC is an addiction (substance use disorder) counselor in Minneapolis, MN. AVALON PROGRAMS, LLC NPI is 1104950591. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon - Prospect Park.

The provider's business location address is:

2800 UNIVERSITY AVE SE
SUITE 202
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 638-2282
Fax: (612) 326-7642

The provider's authorized official is Paul Lindeman .
The authorized official title is Director - Revenue Cycle Mgmt and has the following contact phone number (612) 326-7566.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 12/10/2008.

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
1324500000XSubstance Abuse Rehabilitation Facility1016848-4-CDTMINNESOTANo
2101YA0400XCounselorAddiction (Substance Use Disorder)1016848MINNESOTAYes

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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