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DBT ASSOCIATES NPI 1639104193


NPI Profile

NPI: 1639104193
Provider Name: DBT ASSOCIATES
Classification:Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7362 UNIVERSITY AVE NE
SUITE 101
FRIDLEY, MN
ZIP 55432
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Phone: (763) 503-3981

DBT ASSOCIATES is a mental health counselor in Fridley, MN. DBT ASSOCIATES NPI is 1639104193. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7362 UNIVERSITY AVE NE
SUITE 101
FRIDLEY, MN
ZIP 55432-142
Phone: (763) 503-3981
Fax: (763) 503-3981

The provider's authorized official is Anne Marie Gresham .
The authorized official title is Managing Partner and has the following contact phone number (763) 503-3981.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2103T00000XPsychologistNo
3101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007014900MEDICAIDMINNESOTA
28G624DIOTHERMINNESOTABLUE CROSS
3C02776MEDICARE PINMINNESOTA
407F28DIOTHERMINNESOTABLUE CROSS

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: 4/11/2021

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