CAROLYN PHELPS PHDLP LLC (NPI# 1710467071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710467071 |
| Entity Type | Organization |
| Organization Name | CAROLYN PHELPS PHDLP LLC |
| Other Organization Name | DREAMLIFE PSYCHOLOGICAL SERVICES |
| Practice Address |
302 W Superior St Ste 502 Duluth MN 55802-5115 |
| Practice Telephone | 2183412834 |
| Mailing Telephone | 2183412834 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | DR. CAROLYN PHELPS (PSYCHOLOGIST) |
| Authorized Official Telephone | 2183412834 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LP3015 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DreamLife Psychological Services | Doing Business As Name - Organization |
| Street Address |
302 W SUPERIOR ST STE 502 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| 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 |
| 1851940621 | Superior Counseling LLC | Clinic/Center | 324 W Superior St Ste 530, Duluth, MN 55802-1724 | 2019-09-05 |
| 1831663483 | Moving Waters Counseling LLC | Clinic/Center | 324 W Superior St Ste 1121, Duluth, MN 55802-1704 | 2019-01-17 |
| 1053884023 | Kartta Group, LLC | Clinic/Center | 324 W Superior St Ste 625, Duluth, MN 55802-1723 | 2019-01-02 |
| 1306337431 | Shelly Symons, LLC | Clinic/Center | 312 N Central Ave Ste 500, Duluth, MN 55807-2546 | 2018-05-24 |
| 1427579721 | Optimum Purpose Counseling and Education | Clinic/Center | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2017-06-28 |
| 1033561196 | Goldenstein Psychological Services-gps Pllc | Clinic/Center | 202 W Superior St, Suite 507, Duluth, MN 55802-1936 | 2016-07-12 |
| 1528470648 | The Guidance Group Inc | Clinic/Center | 405 E Superior St Ste 215, Duluth, MN 55802-2244 | 2014-05-22 |
| 1316007180 | Manna Treatment Center, LLC | Clinic/Center | 2250 Satellite Blvd, Suite # 115, Duluth, GA 30097-4906 | 2006-12-11 |
| 1639237746 | Polinsky Medical Rehabilitation Center | Clinic/Center | 530 E 2nd St, Duluth, MN 55805-1913 | 2006-12-04 |
| Find all providers in DULUTH | ||||
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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.