Organization · NPI-2

Lee Carlson Center For Mental Health And Well-Being

Clinic/Center, Mental Health (Including Community Mental Health Center) · Fridley, MN

NPI number1457455057
StatusActive
Last updated in NPPESMar 3, 2026

Details

NPI
1457455057
Entity type
Organization (NPI-2)
Legal business name
Lee Carlson Center For Mental Health And Well-Being
Organization subpart
No
Enumeration date
Sep 12, 2006
Certification date
Mar 3, 2026
Last updated
Mar 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

7954 University Ave Ne
Fridley, MN 55432-1860

Phone 763-780-3036

Mailing address

7954 University Ave Ne
Fridley, MN 55432-1860

Phone 763-780-3036

Authorized official

Robert Edwards
Executive Director
7637803036

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