NOBILITY WELLNESS SERVICES, PLLC (NPI# 1366908824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366908824 |
| Entity Type | Organization |
| Organization Name | NOBILITY WELLNESS SERVICES, PLLC |
| Practice Address |
1061 Grand Ave Fl 2 Saint Paul MN 55105-3002 |
| Mailing Address |
1609 Boardwalk Eagan MN 55122-1235 |
| Practice Telephone | 5073179349 |
| Mailing Telephone | 5073179349 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | NICOLE CARREON (CO-OWNER) |
| Authorized Official Telephone | 5073179349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8040 Old Cedar Ave S Ste 100, Minneapolis, MN 554251205 | 5073179349 |
| Street Address |
1061 GRAND AVE FL 2 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| 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 |
|---|---|---|---|---|
| 1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
| 1427611318 | Provision Mental Health Services LLC | Clinic/Center | 962 University Ave W Ste 101, Saint Paul, MN 55104-4703 | 2019-04-17 |
| 1184189714 | Success Psychological Services Pllc | Clinic/Center | 2239 Carter Ave # 202, Saint Paul, MN 55108-1638 | 2019-02-07 |
| 1932663101 | Alliance for Individual Development Inc | Clinic/Center | 1955 University Ave W Ste 213, Saint Paul, MN 55104-3592 | 2019-01-22 |
| 1932629078 | Independent Healthcare Resources, LLC. | Clinic/Center | 393 Dunlap St N Ste 820, Saint Paul, MN 55104-4343 | 2017-06-20 |
| 1386196673 | Loud Body Sound Mind, LLC | Clinic/Center | 1025 Selby Ave Ste 101, Saint Paul, MN 55104-6533 | 2016-11-02 |
| 1306392683 | Truman Group, LLC | Clinic/Center | 241 Cleveland Avenue S, Saint Paul, MN 55105-1208 | 2016-08-28 |
| 1518352681 | Truman Consulting, LLC | Clinic/Center | 241 Cleveland Ave S Ste 1a, Saint Paul, MN 55105-1255 | 2015-04-05 |
| 1811163025 | Laurie A. Dunn, Ph.d., LLC | Clinic/Center | 348 Prior Ave N Ste 104, Saint Paul, MN 55104-5188 | 2008-05-07 |
| 1841389798 | Project Pathfinder Inc. | Clinic/Center | 570 Asbury St Ste 300, Saint Paul, MN 55104-1851 | 2006-10-11 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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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.