Pathways Psychology On Grand, Pllc in Saint Paul - Mental Health (including Community Mental Health Center)
Pathways Psychology On Grand, Pllc - NPI 1649281676
Pathways Psychology On Grand, Pllc is a Mental Health (including Community Mental Health Center) in Saint Paul, Minnesota. Pathways Psychology On Grand, Pllc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Pathways Psychology On Grand, Pllc is 1649281676. The last update date is 2008-11-21.
Pathways Psychology On Grand, Pllc's current location address is 1053 Grand Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6512870931 and fax number 6512870967. The mailing address for Pathways Psychology On Grand, Pllc is 1053 Grand Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pathways Psychology On Grand, Pllc |
|---|---|
| Address | 1053 Grand Ave, Saint Paul, Minnesota |
| Phone Number | 6512870931 |
| Fax Number | 6512870967 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HIPAA OFFI |
|---|---|
| Authorized Official Name | Leblond R Jill |
| Credentials | PSYD, LP |
| Telephone Number | 6512870931 |
NPI Number Detail
| NPI Number | 1649281676 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2008-11-21 |
Provider Mailing Address Detail
| Address | 1053 Grand Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551053022 |
| Phone Number | 6512870931 |
| Fax Number | 6512870967 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 626K2PA | MN | BLUE CROSS BLUE SHIELD ID | |
| 9374051000 | MN | -- |
Post Comment/ Review Below
What is the Pathways Psychology On Grand, Pllc's unique identification number?
The Pathways Psychology On Grand, Pllc has been assigned the NPI (National Provider Identifier) Number 1649281676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Pathways Psychology On Grand, Pllc is physically located?
The Pathways Psychology On Grand, Pllc is situated at the following address: 1053 Grand Ave, Saint Paul, MN 551053022.
What is Pathways Psychology On Grand, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pathways Psychology On Grand, Pllc is Mental Health (including Community Mental Health Center), and the taxonomy classification code that categorizes this area of expertise is 261Qm0801X.
When was the Pathways Psychology On Grand, Pllc's 1649281676 issued?
The Pathways Psychology On Grand, Pllc's 1649281676 was issued on 2006-08-11.
When was the Pathways Psychology On Grand, Pllc's information last updated?
The Pathways Psychology On Grand, Pllc's information was last updated on 2008-11-21.