COMO BEHAVIORAL CARE LLC (NPI# 1174123376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174123376 |
Entity Type | Organization |
Organization Name | COMO BEHAVIORAL CARE LLC |
Practice Address |
441 Old Highway 8 Nw Ste 213 New Brighton MN 55112-3235 |
Practice Telephone | 6128761144 |
Practice Fax Number | 7029755779 |
Mailing Telephone | 6128761144 |
Mailing Fax Number | 7029755779 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Authorized Official Name | LIBIN HASSAN HASHI (MENTAL HEALTH PRACTITIONER) |
Authorized Official Telephone | 6128761144 |
Authorized Official Credential | MHP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
441 OLD HIGHWAY 8 NW STE 213 |
City | NEW BRIGHTON |
State | MN |
Zip Code | 55112-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
Find all providers in zip 55112 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952868788 | Affinity Support Services | Clinic/Center | 1405 Silver Lake Rd Nw Ste 18, New Brighton, MN 55112-9312 | 2019-02-28 |
1467761742 | Nystrom & Associates, Ltd. | Clinic/Center | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2010-10-04 |
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1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
1366085748 | The Journey Center | Clinic/Center | 230 W Lyon St Ste 109, Marshall, MN 56258-1362 | 2019-10-18 |
Find all providers with the same taxonomy |
City | NEW BRIGHTON |
Zip Code | 55112 |
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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.