| Family Based Therapy Associates | |
|
11549 Lake Ln Suite 2 Chisago City MN 55013-9830 | |
| (651) 257-2733 | |
| (651) 257-2783 |
| Full Name | Family Based Therapy Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11549 Lake Ln, Chisago City, Minnesota |
| Authorized Official Name and Position | Randall Wallace (DIRECTOR) |
| Authorized Official Contact | 7637801520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Based Therapy Associates 199 Coon Rapids Blvd Nw Suite 306 Coon Rapids MN 55433-5831 Ph: (763) 780-1520 | Family Based Therapy Associates 11549 Lake Ln Suite 2 Chisago City MN 55013-9830 Ph: (651) 257-2733 |
| NPI Number | 1891100293 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891100293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00789 (Minnesota) | Primary |
Acres For Life Therapy & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11720 256th St, Chisago City, MN 55013 Phone: 651-257-4159 | |
Minerva Center For Psychology Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11185 Lake Blvd Ste 205, Chisago City, MN 55013 Phone: 612-865-9150 |