LION YOUTH AND COMMUNITY SERVICES LLC NPI 1902302722

NPI Information

NPI: 1902302722
Provider Name: LION YOUTH AND COMMUNITY SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
600 25TH AVE S STE 209
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 420-1272
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LION YOUTH AND COMMUNITY SERVICES, LLC is a mental health (including community mental health center) clinic center in Saint Cloud, MN. LION YOUTH AND COMMUNITY SERVICES, LLC NPI is 1902302722. The provider is registered as an organization entity type.

The provider's business location address is:

600 25TH AVE S STE 209
SAINT CLOUD, MN
ZIP 56301-866
Phone: (320) 420-1272
Fax: (320) 240-6814

The provider's authorized official is Kenneth Longfellow Hanna .
The authorized official title is Owner and has the following contact phone number (320) 420-1272.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2571659	MINNESOTA	Yes

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

NPI Synchronization or Removal

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