MERIDIAN BEHAVIORAL HEALTH-TWIN TOWN (NPI# 1871850123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871850123 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTH-TWIN TOWN |
| Practice Address |
1706 University Ave W Saint Paul MN 55104-3614 |
| Practice Telephone | 6516453661 |
| Practice Fax Number | 6516450959 |
| Mailing Telephone | 6516453661 |
| Mailing Fax Number | 6516450959 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | MR. STEVE BRANCO (DIRECTOR) |
| Authorized Official Telephone | 6123267611 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 301859 | MN | Residential Treatment Facilities |
| Street Address |
1706 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689708083 | Twin Town Treatment Center | Substance Abuse Rehabilitation Facility | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2007-03-15 |
| 1134537517 | Randee Renae Brown | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2014-07-29 |
| 1508123837 | Desiree' Lynn Trobaugh | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2012-04-11 |
| 1477834299 | Eryn Beth Larsen Smith | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-09-07 |
| 1487947735 | Ann S. Linnere | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-05-19 |
| 1235422767 | Dorothy Tonja Harding | Licensed Practical Nurse | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-05-17 |
| 1639462211 | Matthew Johnson | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-05-16 |
| 1437442043 | Anton Dean Pearson | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-05-16 |
| 1457640724 | Eden Zabrina Stelflug | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-04-07 |
| 1275822660 | Falon M Kern | Counselor | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1376076604 | North Point Health &wellness Center | Substance Abuse Rehabilitation Facility | 950 Sherburne Ave, Saint Paul, MN 55104-2606 | 2017-04-04 |
| 1871931535 | Volunteers of America | Substance Abuse Rehabilitation Facility | 1394 Jackson St, Saint Paul, MN 55117-4629 | 2013-06-04 |
| 1780850446 | Volunteers of America of Minnesota | Substance Abuse Rehabilitation Facility | 5100 Hodgson Rd, Saint Paul, MN 55126-1229 | 2008-05-02 |
| 1649440355 | Juel Fairbanks Chemical Dependency Services | Substance Abuse Rehabilitation Facility | 806 Albert St N, Saint Paul, MN 55104-1303 | 2008-03-10 |
| 1588878599 | Tapestry, LLC | Substance Abuse Rehabilitation Facility | 1609 Jackson St, Saint Paul, MN 55117-3917 | 2007-05-09 |
| 1689708083 | Twin Town Treatment Center | Substance Abuse Rehabilitation Facility | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2007-03-15 |
| 1154455533 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 1885 University Avenue West, Suite 151, Saint Paul, MN 55104 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MERIDIAN BEHAVIORAL HEALTH-TWIN TOWN.
| 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.