LEECH LAKE WOMEN'S SERVICES NPI 1942478300

NPI Information

  • NPI: 1942478300
  • Provider Name: LEECH LAKE WOMEN'S SERVICES
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 113 BALSOM AVE NW
    CASS LAKE, MN
    ZIP 56633
  • Phone: (218) 335-3560

Map and Directions

Get Directions

NPI Details

LEECH LAKE WOMEN'S SERVICES is an addiction (substance use disorder) counselor in Cass Lake, MN. LEECH LAKE WOMEN'S SERVICES NPI is 1942478300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

113 BALSOM AVE NW
CASS LAKE, MN
ZIP 56633
Phone: (218) 335-3560
Fax: (218) 335-2482

The provider's authorized official is Gloria Mellado .
The authorized official title is A & D Program Director and has the following contact phone number (218) 335-3567.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/26/2008.

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)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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.