PEACEFUL LIVING PROFESSIONALS, LLC (NPI# 1578001178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578001178 |
| Entity Type | Organization |
| Organization Name | PEACEFUL LIVING PROFESSIONALS, LLC |
| Practice Address |
6901 78th Ave No, Suite 102 Brooklyn Park MN 55445 |
| Practice Telephone | 7639519049 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | RICHARD VUE (CEO) |
| Authorized Official Telephone | 7639519049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 8738 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 24976 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CLINICAL SOCIAL WORKER | 24976 | 01 |
| MN | CLINICAL SOCIAL WORKER | 8738 | 01 |
| Street Address |
6901 78TH AVE NO, SUITE 102 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| 1629290762 | New Guidance Counseling Clinic | Counselor | 8557 Wyoming Ave North, Brooklyn Center, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408352 | Horizon Home Care Services Inc | Community/Behavioral Health | 9703 Greenspruce Ave N, Brooklyn Park, MN 55443-1516 | 2019-10-14 |
| 1316494032 | Primus Incorporated | Community/Behavioral Health | 7309 Kentucky Ave N, Brooklyn Park, MN 55428-1222 | 2016-09-10 |
| 1972057560 | Holistic Awarness Professional Services LLC | Community/Behavioral Health | 7420 Unity Ave N Ste 212, Brooklyn Park, MN 55443-3136 | 2016-08-11 |
| 1134576929 | Midwest Medical & Rehabilitative Services, LLC | Community/Behavioral Health | 7308 Aspen Ln N Ste 134, Brooklyn Park, MN 55428-1035 | 2016-05-21 |
| 1962802041 | Pauline Svare | Community/Behavioral Health | 7700 Abbott Ave N, Brooklyn Park, MN 55443-2839 | 2014-08-26 |
| 1508909730 | Institute for Minority Dev | Community/Behavioral Health | 3608 78th Ave No, Brooklyn Park, MN 55443 | 2007-02-15 |
| 1720580590 | Project Chesapeake, LLC | Community/Behavioral Health | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
| 1447317029 | Children's Home Society & Family Services | Community/Behavioral Health | 7600 Boone Ave N, Suite 2, Brooklyn Park, MN 55428-4563 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
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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.