RAINFALL THERAPY AND CONSULTING, PLLC


Address: 2322 Mamie Ave E, Maplewood, MN 55119-5958
Phone: 6512609262

RAINFALL THERAPY AND CONSULTING, PLLC (NPI# 1336791987) 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) 1336791987
Entity Type Organization
Organization Name RAINFALL THERAPY AND CONSULTING, PLLC
Practice Address 2322 Mamie Ave E
Maplewood
MN 55119-5958
Mailing Address 7595 Currell Blvd Unit 251523
Woodbury
MN 55125-2612
Practice Telephone 6512609262
Mailing Telephone 6512609262
Enumeration Date 2019-07-14
Last Update Date 2019-07-14
Authorized Official Name CIMENA J GORDON (OWNER)
Authorized Official Telephone 6512609262
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 2322 MAMIE AVE E
City MAPLEWOOD
State MN
Zip Code 55119-5958

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City MAPLEWOOD
Zip Code 55119

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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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