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Kathlyn Nelson Phd Llc
Community/Behavioral Health Agency in Woodbury, Minnesota
NPI 1609008010

Kathlyn Nelson Phd Llc is a Community/Behavioral Health Agency based in White Bear Lake, MN. Kathlyn Nelson Phd Llc practices in Woodbury, MN. The NPI Number for Kathlyn Nelson Phd Llc is 1609008010 and holds a License No. LP 3967 (Minnesota).

The current practice location address for Kathlyn Nelson Phd Llc is 7616 Currell Blvd, Woodbury, MN and can be reached out via phone at 651-341-9667 and via fax at 651-735-7527. You can also correspond with Kathlyn Nelson Phd Llc through the mailing address at 2546 DOROTHY AVE, WHITE BEAR LAKE, MN - 55110-4911 (mailing address contact number: 651-341-9667).

Location: 7616 Currell Blvd, Woodbury, MN, 55110-4911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609008010
Provider Name
Kathlyn Nelson Phd Llc
Credential
Provider Entity Type
Organization
Address
7616 Currell Blvd, Woodbury, MN, 55110-4911
Phone Number
651-341-9667
Fax Number
651-735-7527
Provider Enumeration Date
08/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
459510600 05 MN
1093804338 01 MN INDIVIDUAL NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
7616 Currell Blvd
City
Woodbury
State
Minnesota
Zip
55125-2290
Phone Number
651-341-9667
Fax Number
651-735-7527
person
Provider Business Mailing Address Details
Address
7616 Currell Blvd
City
Woodbury
State
Minnesota
Zip
55125-2290
Phone Number
651-341-9667
Fax Number
651-735-7527
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
LP 3967 (Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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