MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLLC NPI 1689990665

NPI Information

NPI: 1689990665
Provider Name: MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLLC

Former Legal Business Name: MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1207 CALEDONIA STREET
MANKATO, MN
ZIP 56001
Phone: (507) 625-4884
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MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLLC is a mental health counselor in Mankato, MN. MANKATO MARRIAGE AND FAMILY THERAPY CENTER PLLC NPI is 1689990665. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mankato Marriage And Family Therapy Center Pllc.

The provider's business location address is:

1207 CALEDONIA STREET
MANKATO, MN
ZIP 56001
Phone: (507) 625-4884
Fax: (507) 625-6311

The provider's authorized official is John E. Rapking .
The authorized official title is Owner/clinical Director and has the following contact phone number (507) 625-4884.

The enumeration date for this NPI number is 4/15/2010 and was last updated on 4/26/2024.

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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	251S00000X	Community/Behavioral Health		965	MINNESOTA	No

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
1	1669456885	MEDICAID	MINNESOTA
2	206968700	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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