COBALT BLUE COUNSELING PC


Address: 3815 Pleasant Lake North, Eveleth, MN 55734
Phone: 2189941958

COBALT BLUE COUNSELING PC (NPI# 1922536481) 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) 1922536481
Entity Type Organization
Organization Name COBALT BLUE COUNSELING PC
Practice Address 3815 Pleasant Lake North
Eveleth
MN 55734
Practice Telephone 2189941958
Mailing Telephone 2187444261
Enumeration Date 2017-05-30
Last Update Date 2018-10-26
Authorized Official Name JUDY DREFFS-STRUMBELL (OWNER/THERAPIST)
Authorized Official Telephone 2189941958
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 1053771378 05

Office Location

Street Address 3815 PLEASANT LAKE NORTH
City EVELETH
State MN
Zip Code 55734

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City EVELETH
Zip Code 55734

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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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