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Crystal Wellness Center Llc
Adolescent and Children Mental Health Clinic/Center in Bloomington, Minnesota
NPI 1194359547

Crystal Wellness Center Llc is an Adolescent and Children Mental Health Clinic/Center based in Bloomington, MN and is specialized in Adolescent and Children Mental Health. Crystal Wellness Center Llc practices in Bloomington, MN. The NPI Number for Crystal Wellness Center Llc is 1194359547 and holds a License No. (Minnesota).

The current practice location address for Crystal Wellness Center Llc is 9001 E Bloomington Fwy Ste 147, Bloomington, MN and can be reached out via phone at 952-658-6845.

Location: 9001 E Bloomington Fwy Ste 147, Bloomington, MN, 55420-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194359547
Provider Name
Crystal Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
9001 E Bloomington Fwy Ste 147, Bloomington, MN, 55420-3450
Phone Number
952-658-6845
Fax Number
Provider Enumeration Date
02/25/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9001 E Bloomington Fwy Ste 147
City
Bloomington
State
Minnesota
Zip
55420-3450
Phone Number
952-658-6845
Fax Number
person
Provider Business Mailing Address Details
Address
9001 E Bloomington Fwy Ste 147
City
Bloomington
State
Minnesota
Zip
55420-3450
Phone Number
952-658-6845
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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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