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1001 Boone Avenue North Golden Valley MN 55427 | |
| (952) 737-6900 | |
| (952) 737-6900 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1001 Boone Avenue North, Golden Valley, Minnesota |
| Authorized Official Name and Position | Wyayn Rasmussen (HEAD OF SCHOOL) |
| Authorized Official Contact | 9527376900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1001 Boone Avenue North Golden Valley MN 55427 Ph: (952) 737-6900 | 1001 Boone Avenue North Golden Valley MN 55427 Ph: (952) 737-6900 |
| NPI Number | 1033637426 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 08/02/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 17770 (Minnesota) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 17770 (Minnesota) | Primary |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |