EFFECTIVE LIVING CENTER, INC (NPI# 1750496295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750496295 |
| Entity Type | Organization |
| Organization Name | EFFECTIVE LIVING CENTER, INC |
| Practice Address |
103 6th St Ne Little Falls MN 56345-2854 |
| Practice Telephone | 3206323166 |
| Practice Fax Number | 3206323297 |
| Mailing Telephone | 3206323166 |
| Mailing Fax Number | 3206323297 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. COLLEEN WALKER-STEDHAM (PRESIDENT) |
| Authorized Official Telephone | 3206323166 |
| Authorized Official Credential | MS, LSW, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
804331-2-CDT | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124133475 | Effective Living Center, Inc | Counselor | 821 W Saint Germain St, Saint Cloud, MN 56301-3515 | 2006-08-20 |
| 1538488721 | Effective Living Center, Inc | Community/Behavioral Health | 821 W Saint Germain St, Saint Cloud, MN 56301-3515 | 2010-05-27 |
| Street Address |
103 6TH ST NE |
| City | LITTLE FALLS |
| State | MN |
| Zip Code | 56345-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1386079846 | Paul Carpenter | Physical Therapist | 104 2nd St Se, Little Falls, MN 56345 | 2013-09-03 |
| 1114282670 | Annalee Michelle Vandenheuvel | Social Worker | 1905 5th Ave Se, Little Falls, MN 56345 | 2012-07-11 |
| 1962761601 | Heather Van Stone | Audiologist | 109 5th St Ne Ste 2, Little Falls, MN 56345 | 2012-05-15 |
| 1003055989 | Brett Wayne Speer | Chiropractor | 114 1st Street Ne, Little Falls, MN 56345 | 2009-02-17 |
| 1104007988 | Sharon Anne Bell | Physical Therapist | 309 First St. Ne, Suite 101, Little Falls, MN 56345 | 2007-11-20 |
| 1215072996 | Robert Willhite | Pharmacist | 101 1st St Ne, Little Falls, MN 56345 | 2007-02-21 |
| 1568526275 | Jeffrey Hoffman | Physical Therapist | 815 Se 2nd Street, Unity Family Healthcare, Little Falls, MN 56345 | 2006-12-20 |
| 1700978020 | Jennifer Mary Hagen | Pharmacist | 101 1st St Se, Little Falls, MN 56345 | 2006-09-28 |
| Find all providers in zip 56345 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689000739 | Mary Kathryn Groth | Counselor | 1001 5th Ave Ne Apt 306, Little Falls, MN 56345-2545 | 2013-09-20 |
| 1477993848 | Jeanne Catherine Kenning Smith | Counselor | 15 Edgewater Dr, Little Falls, MN 56345-3430 | 2013-07-01 |
| 1295897023 | Haven Recovery Center | Counselor | 16403 Haven Rd, Little Falls, MN 56345-6400 | 2006-12-15 |
| 1912475310 | Stacy Lynn Burrell | Counselor | 1906 5th Ave Se, Little Falls, MN 56345-3317 | 2018-11-05 |
| 1306022413 | Haven Road Recovery Center, LLC | Counselor | 213 1st Ave Se, Little Falls, MN 56345-1468 | 2008-01-18 |
| 1639354178 | Haven Recovery Center LLC | Counselor | 16403 Haven Rd, Little Falls, MN 56345-6400 | 2008-01-03 |
| 1013192681 | Haven Road Recovery Center LLC | Counselor | 16403 Haven Rd, Little Falls, MN 56345-6400 | 2008-01-02 |
| 1184749269 | Marianne Kunze | Counselor | 27 E Main St, Little Falls, NJ 07424-5603 | 2007-03-20 |
| 1598827339 | Margaret Schuett | Counselor | 16403 Haven Rd, Little Falls, MN 56345-6400 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE FALLS |
| Zip Code | 56345 |
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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.