CENTER FOR MENTAL HEALTH AND WELLNESS, LLC


Address: 11855 Ulysses St Ne Ste 40, Blaine, MN 55434-3947
Phone: 7636919032

CENTER FOR MENTAL HEALTH AND WELLNESS, LLC (NPI# 1457868820) 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) 1457868820
Entity Type Organization
Organization Name CENTER FOR MENTAL HEALTH AND WELLNESS, LLC
Practice Address 11855 Ulysses St Ne Ste 40
Blaine
MN 55434-3947
Practice Telephone 7636919032
Enumeration Date 2018-01-05
Last Update Date 2018-01-05
Authorized Official Name DR. LISA ANN WILKE (OWNER)
Authorized Official Telephone 7636919032
Authorized Official Credential PSYD
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 11855 ULYSSES ST NE STE 40
City BLAINE
State MN
Zip Code 55434-3947

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760927784 Lisa Wilke Psychologist 11855 Ulysses St Ne Ste 40, Blaine, MN 55434-3947 2016-12-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1033770714 Enduring Home Health Care Corp Home Health 10812 Fillmore Street, Blaine, MN 55434 2019-06-24
1932762408 Vital Agency LLC In Home Supportive Care 12864 Fillmore Street Ne, Blaine, MN 55434 2019-04-19
1548751654 Dustin Adam Kakach Pharmacist 600 County Hwy 10, Blaine, MN 55434 2018-05-24
1598253445 Jacob James Apland Behavioral Analyst 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 2018-04-26
1962921924 Mw Minnetonka Operating LLC Assisted Living Facility 1005 Paul Parkway Ne, Blaine, MN 55434 2017-09-11
1922526961 Blaine Asc, LLC Clinic/Center 11225 Ulysses Street Northeast, Blaine, MN 55434 2017-08-30
1629591334 Minnehaha Transportation Inc Non-emergency Medical Transport (VAN) 2507 Walnut St, Roseville, MN 55434 2017-07-25
1629590872 Alexandra Staum Reif Pediatrics 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 2017-07-10
1962939546 Nicolette Gengel Dentist 1384 109th Ave Ne Ste 200, Blaine, MN 55434 2017-05-15
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952763351 Watershed Psychological Services Clinic/Center 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 2016-03-24
1972143345 Seeds for Change Counseling, LLC Clinic/Center 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 2020-01-13
1336628478 Vlw LLC Clinic/Center 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 2018-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821698671 St. Cloud Tms LLC Clinic/Center 925 E Superior St Ste 106, Duluth, MN 55802-2253 2020-10-30
1740880764 East Metro Trauma and Recovery LLC Clinic/Center 4116 Hoffman Rd, White Bear Lake, MN 55110-3708 2020-10-28
1851991160 Gratia Counseling & Consulting, LLC Clinic/Center 2705 Bunker Lake Blvd Nw Ste 103, Andover, MN 55304-3786 2020-10-27
1508465147 Piece of Mind Counseling Services, Pllc Clinic/Center 1122 Bemidji Ave N, Bemidji, MN 56601-2833 2020-10-24
1205433984 Hopebridge Life Skills Center Clinic/Center 3617 E Lake St, Minneapolis, MN 55406-2148 2020-10-05
1275149007 Clarity Counseling Services Pllc Clinic/Center 521 W Highway 2, Cohasset, MN 55721-2300 2020-09-17
1720693146 Serene Therapy and Counseling Services LLC Clinic/Center 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 2020-09-11
1427662592 Threesixty, LLC Clinic/Center 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 2020-09-04
1124639190 Woodhaven Wellness Clinic/Center 3000 Carriage Dr, Hamel, MN 55340-9597 2020-08-13
1245840735 Kalina Counseling Services Clinic/Center 120 7th St Unit 101, Two Harbors, MN 55616-1563 2020-08-09
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Competitor

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City BLAINE
Zip Code 55434

Improve Information

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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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