EFFECTIVE LIVING CENTER, INC (NPI# 1124133475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124133475 |
| Entity Type | Organization |
| Organization Name | EFFECTIVE LIVING CENTER, INC |
| Practice Address |
821 W Saint Germain St Saint Cloud MN 56301-3515 |
| Practice Telephone | 3202595381 |
| Practice Fax Number | 3202596171 |
| Mailing Telephone | 3202595381 |
| Mailing Fax Number | 3202596171 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. COLLEEN WALKER-STEDHAM (PRESIDENT) |
| Authorized Official Telephone | 3202595381 |
| Authorized Official Credential | MS, LSW, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
830523-1-CDT | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750496295 | Effective Living Center, Inc | Counselor | 103 6th St Ne, Little Falls, MN 56345-2854 | 2006-08-21 |
| 1538488721 | Effective Living Center, Inc | Community/Behavioral Health | 821 W Saint Germain St, Saint Cloud, MN 56301-3515 | 2010-05-27 |
| Street Address |
821 W SAINT GERMAIN ST |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975690 | Courtney O'malley | Counselor | 821 W Saint Germain St, Saint Cloud, MN 56301-3536 | 2015-03-02 |
| 1295017796 | Kristin Z Anderson | Social Worker | 821 W Saint Germain St, Saint Cloud, MN 56301-3536 | 2011-09-12 |
| 1538488721 | Effective Living Center, Inc | Community/Behavioral Health | 821 W Saint Germain St, Saint Cloud, MN 56301-3515 | 2010-05-27 |
| 1235379371 | Colleen Walker Stedham | Psychologist | 821 W Saint Germain St, Saint Cloud, MN 56301-3515 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841799657 | Jake Toratti | Counselor | 1572 County Road 134, Saint Cloud, MN 56303-0346 | 2018-02-07 |
| 1063927911 | Jennifer Anderson | Counselor | 524 25th Ave N, Saint Cloud, MN 56303-3255 | 2017-12-13 |
| 1922409648 | S.b. Consulting L.L.C. | Counselor | 1030 4th St Se, Saint Cloud, MN 56304-1215 | 2014-09-12 |
| 1821405820 | Daniel Rueckert | Counselor | 1425 E Saint Germain St, Saint Cloud, MN 56304-0617 | 2014-07-22 |
| 1316362734 | Saundra Laidlaw | Counselor | 529 16th Ave N, Saint Cloud, MN 56303-3954 | 2014-02-21 |
| 1215279187 | Jennifer Walker | Counselor | 1204 7th St S Ste 105, Saint Cloud, MN 56301-4285 | 2013-03-19 |
| 1194957522 | William Leslie Weber-brown | Counselor | 227 10th Ave N, Saint Cloud, MN 56303-4637 | 2009-08-19 |
| 1689810293 | Mary Jane Tolmaoff | Counselor | 2763 Shannin Dr, Saint Cloud, FL 34771-8708 | 2009-01-02 |
| 1386766426 | Central Minnesota Mental Health Center | Counselor | 3220 8th Street North, Saint Cloud, MN 56303-3128 | 2007-04-06 |
| 1831177195 | Central Minnesota Mental Health Center | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2006-01-06 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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| 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.