AVANTA THERAPY LLC NPI 1629930417

NPI Information

  • NPI: 1629930417
  • Provider Name: AVANTA THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 202 N CEDAR AVE STE 1
    OWATONNA, MN
    ZIP 55060
  • Phone: (651) 370-8791

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NPI Details

AVANTA THERAPY LLC is a mental health (including community mental health center) clinic center in Owatonna, MN. AVANTA THERAPY LLC NPI is 1629930417. The provider is registered as an organization entity type.

The provider's business location address is:

202 N CEDAR AVE STE 1
OWATONNA, MN
ZIP 55060-306
Phone: (651) 370-8791

The provider's authorized official is Nasro Said Hassan .
The authorized official title is N/a and has the following contact phone number (651) 370-8791.

The enumeration date for this NPI number is 12/1/2025 and was last updated on 12/1/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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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