Family Based Therapy Associates
Counselor, Mental Health in Coon Rapids, MN. Organization (NPI-2).
NPI number1194762005
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1194762005
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Based Therapy Associates
- Organization subpart
- No
- Enumeration date
- May 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
199 Coon Rapids Blvd NwSuite 306
Coon Rapids, MN 55433-5831
Phone 763-780-1520 · Fax 763-780-2114
Mailing address
199 Coon Rapids Blvd NwSuite 306
Coon Rapids, MN 55433-5831
Phone 763-780-1520 · Fax 763-780-2114
Authorized official
Randall D Wallace
Director
7637801520
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.
Other Mental Health Counselor providers in Coon Rapids, MN
- Demarion Arrell AbramsNPI 1154266567
- Moyoade AdebiyiNPI 1558173179
- Breonna J BadmusNPI 1811780620
- Jordan BellNPI 1992602932
- Isaac Boike, LPCCNPI 1578030375
- Emma Brandon, MANPI 1184473209
- Thomas Joseph Brown, PSY.D, MANPI 1700576337
- Jennie Curry, MS, LPCCNPI 1518886449
- Tracy Doerr, LPCC/LADCNPI 1194492025
- Elizabeth A Douglas, MA, LADC, LPCCNPI 1336439306
All 70 Mental Health Counselor providers in Coon Rapids · All 2,183 providers in Coon Rapids
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.