Blooming Prairie Assessment & Therapy Center P.C. in Devils Lake - Clinical
Blooming Prairie Assessment & Therapy Center P.C. - NPI 1649461344
Blooming Prairie Assessment & Therapy Center P.C. is a Clinical in Devils Lake, North Dakota. Blooming Prairie Assessment & Therapy Center P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Blooming Prairie Assessment & Therapy Center P.C. is 1649461344. The last update date is 2013-04-17.
Blooming Prairie Assessment & Therapy Center P.C.'s current location address is 211 4th St Ne, Devils Lake, North Dakota. You can contact this provider via phone number 7016628255 and fax number 7016621739. The mailing address for Blooming Prairie Assessment & Therapy Center P.C. is 211 4th St Ne, Devils Lake, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blooming Prairie Assessment & Therapy Center P.C. |
|---|---|
| Address | 211 4th St Ne, Devils Lake, North Dakota |
| Phone Number | 7016628255 |
| Fax Number | 7016621739 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Kenney K Sara |
| Credentials | PSYD |
| Telephone Number | 7016628255 |
NPI Number Detail
| NPI Number | 1649461344 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2013-04-17 |
Provider Mailing Address Detail
| Address | 211 4th St Ne |
|---|---|
| City | Devils Lake |
| State | North Dakota (ND) |
| Post Code | 583012479 |
| Phone Number | 7016628255 |
| Fax Number | 7016621739 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 464 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6978-001 | ND | BCBS OF ND | |
| 600066 | ND | VALUE OPTIONS | |
| 14303 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Blooming Prairie Assessment & Therapy Center P.C. by the Centers for Medicare & Medicaid Services?
The Blooming Prairie Assessment & Therapy Center P.C. has been assigned the NPI (National Provider Identifier) 1649461344. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Blooming Prairie Assessment & Therapy Center P.C. located?
The Blooming Prairie Assessment & Therapy Center P.C. is located at 211 4Th St Ne, Devils Lake, ND 583012479.
What is Blooming Prairie Assessment & Therapy Center P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blooming Prairie Assessment & Therapy Center P.C.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Blooming Prairie Assessment & Therapy Center P.C. receive the assignment of its 1649461344 from the Centers for Medicare & Medicaid Services?
The Blooming Prairie Assessment & Therapy Center P.C. was issued its 1649461344 by the Centers for Medicare & Medicaid Services on 2007-08-07.
When was the information related to Blooming Prairie Assessment & Therapy Center P.C. most recently updated or refreshed?
The details pertaining to the Blooming Prairie Assessment & Therapy Center P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-17.