institution
Prairie St. John's Clinic
Adolescent and Children Mental Health Clinic/Center in Woodbury, Minnesota
NPI 1073601258

Prairie St. John's Clinic is an Adolescent and Children Mental Health Clinic/Center based in Fargo, MN and is specialized in Adolescent and Children Mental Health. Prairie St. John's Clinic practices in Woodbury, MN. The NPI Number for Prairie St. John's Clinic is 1073601258 and holds a License No. 5063A (Minnesota).

The current practice location address for Prairie St. John's Clinic is 7616 Currell Blvd, Woodbury, MN and can be reached out via phone at 651-259-9700 and via fax at 651-259-9740.

Location: 7616 Currell Blvd, Woodbury, MN, 58103-1914
institution
Provider Profile Details
NPI Number
1073601258
Provider Name
Prairie St. John's Clinic
Credential
Provider Entity Type
Organization
Address
7616 Currell Blvd, Woodbury, MN, 58103-1914
Phone Number
651-259-9700
Fax Number
651-259-9740
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
238T5PR 01 MN MINNESOTA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
7616 Currell Blvd
City
State
Zip
55125-2290
Phone Number
651-259-9700
Fax Number
651-259-9740
person
Provider Business Mailing Address Details
Address
7616 Currell Blvd
City
State
Zip
55125-2290
Phone Number
651-259-9700
Fax Number
651-259-9740
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
5063A (North Dakota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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