AVALON PROGRAMS LLC NPI 1871627257

NPI Information

  • NPI: 1871627257
  • Provider Name: AVALON PROGRAMS LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: AVALON - PINE CITY ADD AVALON - STUREON LAKE TO THIS NPI NUMBER
  • Address: 34079 LAKETOWN ROAD
    SUITE #7
    STURGEON LAKE, MN
    ZIP 55783
  • Phone: (218) 372-8000

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NPI Details

AVALON PROGRAMS LLC is an addiction (substance use disorder) counselor in Sturgeon Lake, MN. AVALON PROGRAMS LLC NPI is 1871627257. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avalon - Pine City Add Avalon - Stureon Lake To This Npi Number.

The provider's business location address is:

34079 LAKETOWN ROAD
SUITE #7
STURGEON LAKE, MN
ZIP 55783
Phone: (218) 372-8000
Fax: (218) 372-8002

The provider's authorized official is Cecilia A Winsor .
The authorized official title is Treatment Director and has the following contact phone number (612) 916-4876.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/15/2009.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)1034226MINNESOTANo
2324500000XSubstance Abuse Rehabilitation Facility1034226-2-CDTMINNESOTANo
3101YA0400XCounselorAddiction (Substance Use Disorder)1054088-1-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: 11/21/2025

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