AFRICAN AMERICAN CHILD WELLNESS INSTITUTE


Address: 9800 Shelard Pkwy Ste 325, Plymouth, MN 55441-6453
Phone: 7635220100

AFRICAN AMERICAN CHILD WELLNESS INSTITUTE (NPI# 1487145546) 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) 1487145546
Entity Type Organization
Organization Name AFRICAN AMERICAN CHILD WELLNESS INSTITUTE
Practice Address 9800 Shelard Pkwy Ste 325
Plymouth
MN 55441-6453
Practice Telephone 7635220100
Practice Fax Number 7635880100
Mailing Telephone 7635220100
Mailing Fax Number 7635880100
Enumeration Date 2018-05-24
Last Update Date 2018-05-24
Authorized Official Name DR. BRAVADA GARRETT-AKINSANYA (CLINICAL DIRECTOR)
Authorized Official Telephone 7635220100
Authorized Official Credential PH.D.
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 9800 SHELARD PKWY STE 325
City PLYMOUTH
State MN
Zip Code 55441-6453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710526637 Shadlyn C Bourne Counselor 9800 Shelard Pkwy Ste 325, Plymouth, MN 55441-6453 2019-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689190019 The Recovery Clinic LLC Clinic/Center 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 2017-08-17
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1083069538 Mercade Waldon Home Health Aide 3501 Xenium Lane, Plymouth, MN 55441 2016-05-03
1346645538 Phs Westhealth, Inc Skilled Nursing Facility 2775 Campus Drive North, Plymouth, MN 55441 2014-10-30
1427453125 Samuel David Fine Pharmacist 4070 Goldenrod Ln, Plymouth, MN 55441 2014-10-24
1548672538 Scott Aaron Schmidt Dentist 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 2014-05-23
1831498633 Comforide Transportation Services LLC Non-emergency Medical Transport (VAN) 9730 37th Pl N Suite 201, Plymouth, MN 55441 2011-03-18
1255669271 Tammy Kae Mehlhaus Physician Assistant 2855 Campus Drive, Suite 570, Plymouth, MN 55441 2009-12-02
1164758199 Stephen P. Boger, Dds, Pa Dentist 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 2009-10-27
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
Find all providers in zip 55441

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
1154984623 Monarch Behavioral Health Pllc Clinic/Center 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441-6411 2019-04-19
1063923043 Jtcounselingservices Clinic/Center 5060 Holly Ln N Unit 4, Plymouth, MN 55446-1763 2017-10-18
1689190019 The Recovery Clinic LLC Clinic/Center 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 2017-08-17
1104354406 Willow Bay Therapy, LLC Clinic/Center 12805 Highway 55 Ste 216, Plymouth, MN 55441-3859 2017-05-31
1124687660 Mjm Counseling Pllc Clinic/Center 340 N Main St, Plymouth, MI 48170-1249 2019-06-09
1750852570 Tyler Pollack Incorporated Clinic/Center 595 Forest Ave, Plymouth, MI 48170-1775 2018-12-06
1265911945 Anne Krcatovich, Ma, LLP, LLC Clinic/Center 164 N Main St, Plymouth, MI 48170-1236 2018-08-13
1679070635 Sw Counseling Services LLC Clinic/Center 340 N Main St Ste 201, Plymouth, MI 48170-1290 2018-04-06
1316306418 Nicole Reynolds Psyd LLC Clinic/Center 158 N Main St, Plymouth, MI 48170-1236 2016-02-17
1922434653 Orl Limited LLC Clinic/Center 30 Aldrin Rd, Plymouth, MA 02360-4804 2013-09-26
Find all providers in PLYMOUTH

Competitor

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City PLYMOUTH
Zip Code 55441

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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