Organization · NPI-2
Thousand Branches Professionals Florida PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Arden Hills, MN
NPI number1700614013
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1700614013
- Entity type
- Organization (NPI-2)
- Legal business name
- Thousand Branches Professionals Florida PLLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2024
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Thousand Branches Wellness Arden Hills (Doing Business As)
Practice location
6 Pine Tree Dr Ste 290-295Arden Hills, MN 55112-3745
Phone 651-409-4099
Mailing address
6 Pine Tree Dr Ste 290-295Arden Hills, MN 55112-3745
Phone 651-409-4099
Authorized official
Steve Filton
Vice President
6107683300
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