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ACQUIRE MENTAL HEALTH CLINIC NPI 1811487887


NPI Information

NPI: 1811487887
Provider Name: ACQUIRE MENTAL HEALTH CLINIC
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
25282 HAZELWOOD DR
NISSWA, MN
ZIP 56468
Phone: (218) 820-6626
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ACQUIRE MENTAL HEALTH CLINIC is an addiction (substance use disorder) psychologist in Nisswa, MN. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. ACQUIRE MENTAL HEALTH CLINIC NPI is 1811487887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25282 HAZELWOOD DR
NISSWA, MN
ZIP 56468
Phone: (218) 820-6626
Fax: (218) 961-0065

The provider's authorized official is Jennifer Vaughn .
The authorized official title is Lmft and has the following contact phone number (218) 820-6626.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.


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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)Yes
5103TP2701XPsychologistGroup PsychotherapyNo
6106H00000XMarriage & Family TherapistNo

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: 4/28/2024

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