CORNELIUS COUNSELING LLC NPI 1609114883

NPI Information

NPI: 1609114883
Provider Name: CORNELIUS COUNSELING, LLC

Doing Business As: WELLSPRING COUNSELORS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 895-3624
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CORNELIUS COUNSELING, LLC is a mental health counselor in New Brighton, MN. CORNELIUS COUNSELING, LLC NPI is 1609114883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspring Counselors.

The provider's business location address is:

1405 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112-301
Phone: (651) 895-3624

The provider's authorized official is Amanda V Cornelius .
The authorized official title is Owner and has the following contact phone number (651) 895-3624.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 1/23/2013.

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
1	101YP2500X	Counselor	Professional	CC00430	MINNESOTA	No
2	102L00000X	Psychoanalyst		CC0430	MINNESOTA	No
3	106H00000X	Marriage & Family Therapist		CC0430	MINNESOTA	No
4	101YM0800X	Counselor	Mental Health	CC00430	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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