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CROW RIVER COUNSELING LLC NPI 1760710685


NPI Information

NPI: 1760710685
Provider Name: CROW RIVER COUNSELING LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1200 HIGHWAY 25 N
SUITE 108
BUFFALO, MN
ZIP 55313
Phone: (763) 682-2011
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CROW RIVER COUNSELING LLC is a point of service in Buffalo, MN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CROW RIVER COUNSELING LLC NPI is 1760710685. The provider is registered as an organization entity type.

The provider's business location address is:

1200 HIGHWAY 25 N
SUITE 108
BUFFALO, MN
ZIP 55313-930
Phone: (763) 682-2011
Fax: (763) 682-2165

The provider's authorized official is Thomas E Daniel .
The authorized official title is Therapist and has the following contact phone number (763) 682-2011.

The enumeration date for this NPI number is 12/4/2009 and was last updated on 12/4/2009.


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
1305S00000XPoint of ServiceLICSW 11618MINNESOTAYes

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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