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COMPASSIONATE QUALITY PSYCHIATRY LLC NPI 1932852860


NPI Information

NPI: 1932852860
Provider Name: COMPASSIONATE QUALITY PSYCHIATRY LLC

Other Name: CQTPSYCHIATRY

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 24D2278674

Address:
4135 RICHARD AVE STE 201
HERMANTOWN, MN
ZIP 55811
Phone: (612) 429-1011
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COMPASSIONATE QUALITY PSYCHIATRY LLC is a community behavioral health in Hermantown, 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. COMPASSIONATE QUALITY PSYCHIATRY LLC NPI is 1932852860. The provider is registered as an organization entity type.
The provider Other Name Is Cqtpsychiatry.

The provider's business location address is:

4135 RICHARD AVE STE 201
HERMANTOWN, MN
ZIP 55811-979
Phone: (612) 429-1011

The provider's authorized official is Joannah Bluntach .
The authorized official title is Dr. and has the following contact phone number (218) 969-1347.

The CLIA number assigned to this NPI record is 24D2278674 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 2/7/2023.


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
1251S00000XCommunity/Behavioral HealthYes

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

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