PROFESSIONAL COUNSELING CENTER


Address: 12450 Wayzata Blvd Ste 202, Minnetonka, MN 55305-1927
Phone: 9525489340

PROFESSIONAL COUNSELING CENTER (NPI# 1477821791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477821791
Entity Type Organization
Organization Name PROFESSIONAL COUNSELING CENTER
Practice Address 12450 Wayzata Blvd Ste 202
Minnetonka
MN 55305-1927
Practice Telephone 9525489340
Practice Fax Number 9525489350
Mailing Telephone 9525489340
Mailing Fax Number 9525489350
Enumeration Date 2011-12-01
Last Update Date 2011-12-01
Authorized Official Name MRS. SARAH GRILL (OFFICE MANAGER)
Authorized Official Telephone 9525489340
Is Organization Subpart Y
Parent Organization Name NORTHERN INTEGRATED HEALTH INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801190327 Professional Counseling Center Community/Behavioral Health 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 2010-12-23
1114220811 Professional Counseling Center Community/Behavioral Health 620 Highway 12 E, Delano, MN 55328-8603 2010-12-19

Office Location

Street Address 12450 WAYZATA BLVD STE 202
City MINNETONKA
State MN
Zip Code 55305-1927

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1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1881250785 Adap Consulting Clinic/Center 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 2019-05-15
1821550005 Coscarelli Consulting, LLC Clinic/Center 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 2019-04-04
1669943908 Capital Health Services LLC Clinic/Center 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 2018-12-16
1013497916 Thrive Behavioral Network Iv, LLC Clinic/Center 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 2018-08-20
1780186130 Alliance Wellness Clinic Inc. Clinic/Center 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 2018-03-01
1447795596 Conceptual Counseling & Assessment Clinic/Center 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 2016-12-28
1871035568 No Other Way (now) Recovery Services LLC Clinic/Center 1614 W 3rd St, Red Wing, MN 55066-2086 2016-11-11
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Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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