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VALHALLA PLACE LLC NPI 1881856664


NPI Information

NPI: 1881856664
Provider Name: VALHALLA PLACE, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 24D2106602

Address:
6043 HUDSON RD
SUITE 220
WOODBURY, MN
ZIP 55125
Phone: (651) 925-8200
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VALHALLA PLACE, LLC is a community behavioral health in Woodbury, 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. VALHALLA PLACE, LLC NPI is 1881856664. The provider is registered as an organization entity type.

The provider's business location address is:

6043 HUDSON RD
SUITE 220
WOODBURY, MN
ZIP 55125-018
Phone: (651) 925-8200

The provider's authorized official is Paula Nelson .
The authorized official title is Cfo and has the following contact phone number (612) 326-7555.

The CLIA number assigned to this NPI record is 24D2106602 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 11/16/2016.


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
1251B00000XCase Management1048780-1-CDTMINNESOTANo
2251S00000XCommunity/Behavioral Health1048780-1-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: 4/28/2024

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