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KATHLEEN ANDERSON MS LMFT LLC NPI 1649844382


NPI Information

NPI: 1649844382
Provider Name: KATHLEEN ANDERSON MS LMFT LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
15088 22ND AVE NE # 101
LITTLE FALLS, MN
ZIP 56345
Phone: (320) 224-1853
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KATHLEEN ANDERSON MS LMFT LLC is a mental health (including community mental health center) clinic center in Little Falls, MN. KATHLEEN ANDERSON MS LMFT LLC NPI is 1649844382. The provider is registered as an organization entity type.

The provider's business location address is:

15088 22ND AVE NE # 101
LITTLE FALLS, MN
ZIP 56345-199
Phone: (320) 224-1853

The provider's authorized official is Kathleen Anderson .
The authorized official title is Owner and has the following contact phone number (320) 224-1853.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 5/17/2021.


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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750687406MEDICAIDMINNESOTA

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: 5/5/2024

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