Nolan'S Place LLC
Behavior Technician in Willmar, MN. Organization (NPI-2).
NPI number1154826469
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1154826469
- Entity type
- Organization (NPI-2)
- Legal business name
- Nolan'S Place LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Aug 25, 2021
- Last updated
- Aug 25, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
515 19th Ave SwWillmar, MN 56201-5274
Phone 320-403-5247 · Fax 320-403-5249
Mailing address
515 19th Ave SwWillmar, MN 56201-5274
Phone 320-403-5247 · Fax 320-403-5249
Authorized official
Sallie Graves
Owner
5074011467
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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