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THE WAYSIDE HOUSE INC. NPI 1861884579


NPI Information

NPI: 1861884579
Provider Name: THE WAYSIDE HOUSE, INC.

Doing Business As: WAYSIDE WELLNESS CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2356 UNIVERSITY AVE W
SUITE 210
SAINT PAUL, MN
ZIP 55114
Phone: (952) 926-5626
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THE WAYSIDE HOUSE, INC. is a community behavioral health in Saint Paul, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THE WAYSIDE HOUSE, INC. NPI is 1861884579. The provider is registered as an organization entity type.
The provider Is Doing Business As Wayside Wellness Center.

The provider's business location address is:

2356 UNIVERSITY AVE W
SUITE 210
SAINT PAUL, MN
ZIP 55114-853
Phone: (952) 926-5626

The provider's authorized official is Jessie C Everts .
The authorized official title is Director Of Clinical Services and has the following contact phone number (952) 405-7632.

The enumeration date for this NPI number is 3/4/2015 and was last updated on 3/4/2015.


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
1251S00000XCommunity/Behavioral Health1056564-2-CDTMINNESOTAYes

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: 11/14/2023

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