Sbtv LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in St Louis Park, MN. Organization (NPI-2).
Details
- NPI
- 1992265615
- Entity type
- Organization (NPI-2)
- Legal business name
- Sbtv LLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2019
- Last updated
- Jun 11, 2019
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 |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Sbtv LLC (Doing Business As)
Practice location
6121 Excelsior Blvd Ste 101aSt Louis Park, MN 55416-2752
Phone 612-440-8742 · Fax 716-531-9060
Mailing address
Po Box 490171Minneapolis, MN 55449-0171
Phone 612-440-8742 · Fax 716-531-9060
Authorized official
Natalie M Marr
Owner
6124408742
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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