DIVERSE MENTAL HEALTH RESPONSE LLC NPI 1477330330

NPI Information

NPI: 1477330330
Provider Name: DIVERSE MENTAL HEALTH RESPONSE LLC
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Organization
Other Name: DIVERSE MENTAL HEALTH RESPONSE
Address: 1400 QUEEN AVE N
MINNEAPOLIS, MN
ZIP 55411
Phone: (651) 425-1614

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NPI Details

DIVERSE MENTAL HEALTH RESPONSE LLC is a clinical social worker in Minneapolis, MN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DIVERSE MENTAL HEALTH RESPONSE LLC NPI is 1477330330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Diverse Mental Health Response.

The provider's business location address is:

1400 QUEEN AVE N
MINNEAPOLIS, MN
ZIP 55411-926
Phone: (651) 425-1614

The provider's authorized official is Xeng Y Pha .
The authorized official title is Owner and has the following contact phone number (651) 425-1614.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 7/30/2024.

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	Primary
1	1041C0700X	Social Worker	Clinical	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	251B00000X	Case Management		No
4	251S00000X	Community/Behavioral Health		No
5	261Q00000X	Clinic/Center		No
6	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
7	320800000X	Community Based Residential Treatment Facility, Mental Illness		No

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: 3/30/2025

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