institution
Jordan Hart, Ph.d., L.p., Llc
Adolescent and Children Mental Health Clinic/Center in Minneapolis, Minnesota
NPI 1427039692

Jordan Hart, Ph.d., L.p., Llc is an Adolescent and Children Mental Health Clinic/Center based in Minneapolis, MN and is specialized in Adolescent and Children Mental Health. Jordan Hart, Ph.d., L.p., Llc practices in Minneapolis, MN. The NPI Number for Jordan Hart, Ph.d., L.p., Llc is 1427039692 and holds a License No. LP 4313 (Minnesota).

The current practice location address for Jordan Hart, Ph.d., L.p., Llc is 615 W 35Th St, Minneapolis, MN and can be reached out via phone at 612-414-3540 and via fax at 612-823-8438. You can also correspond with Jordan Hart, Ph.d., L.p., Llc through the mailing address at 615 W 35TH ST, MINNEAPOLIS, MN - 55408-4602 (mailing address contact number: 612-414-3540).

Location: 615 W 35Th St, Minneapolis, MN, 55408-4602
institution
Provider Profile Details
NPI Number
1427039692
Provider Name
Jordan Hart, Ph.d., L.p., Llc
Credential
Provider Entity Type
Organization
Address
615 W 35Th St, Minneapolis, MN, 55408-4602
Phone Number
612-414-3540
Fax Number
612-823-8438
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
991N8HA 01 MN BCBS CLINIC PIN
108187 01 MN HEALTHPARTNERS HPFIN
61-33379 01 MN UBH/MEDICA
institution
Provider Business Practice Location Address Details
Address
615 W 35Th St
City
State
Zip
55408-4602
Phone Number
612-414-3540
Fax Number
612-823-8438
person
Provider Business Mailing Address Details
Address
615 W 35Th St
City
State
Zip
55408-4602
Phone Number
612-414-3540
Fax Number
612-823-8438
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
LP 4313 (Minnesota)
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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