YOUTH BY BETHS PLACE LLC NPI 1154042018

NPI Information

  • NPI: 1154042018
  • Provider Name: YOUTH BY BETHS PLACE LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1606 30TH AVE S STE 2
    MOORHEAD, MN
    ZIP 56560
  • Phone: (701) 936-1190

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NPI Details

YOUTH BY BETHS PLACE LLC is an addiction (substance use disorder) counselor in Moorhead, MN. YOUTH BY BETHS PLACE LLC NPI is 1154042018. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1606 30TH AVE S STE 2
MOORHEAD, MN
ZIP 56560-147
Phone: (701) 936-1190
Fax: (218) 600-5488

The provider's authorized official is Cassie Kasowski .
The authorized official title is Ladc and has the following contact phone number (701) 936-1190.

The enumeration date for this NPI number is 9/8/2022 and was last updated on 9/8/2022.

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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