Booshke Mental Health Inc. in Bemidji - Clinical
Booshke Mental Health Inc. - NPI 1063464824
Booshke Mental Health Inc. is a Clinical in Bemidji, Minnesota. Booshke Mental Health Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Booshke Mental Health Inc. is 1063464824. The last update date is 2011-05-11.
Booshke Mental Health Inc.'s current location address is 2201 Shannon Ln Se, Bemidji, Minnesota. You can contact this provider via phone number 2187602222 and fax number 2184447105. The mailing address for Booshke Mental Health Inc. is 2201 Shannon Ln Se, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Booshke Mental Health Inc. |
|---|---|
| Address | 2201 Shannon Ln Se, Bemidji, Minnesota |
| Phone Number | 2187602222 |
| Fax Number | 2184447105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MENTAL HEA |
|---|---|
| Authorized Official Name | George-Humphrey Ann Melissa |
| Credentials | LICSW |
| Telephone Number | 2187602222 |
NPI Number Detail
| NPI Number | 1063464824 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 2201 Shannon Ln Se |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566017328 |
| Phone Number | 2187602222 |
| Fax Number | 2184447105 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 14486 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288620100 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Booshke Mental Health Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Booshke Mental Health Inc. has been assigned the NPI (National Provider Identifier) 1063464824. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Booshke Mental Health Inc. is geographically located?
The Booshke Mental Health Inc. is physically situated at the following location: 2201 Shannon Ln Se, Bemidji, MN, 566017328.
What is the Booshke Mental Health Inc.'s specialty and taxonomy code?
The Booshke Mental Health Inc.'s specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Booshke Mental Health Inc. receive the assignment of its 1063464824 from the Centers for Medicare & Medicaid Services?
The Booshke Mental Health Inc. was issued its 1063464824 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date was the information pertaining to Booshke Mental Health Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Booshke Mental Health Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-11.