institution
Lifespan Of Minnesota, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Burnsville, Minnesota
NPI 1710097274

Lifespan Of Minnesota, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Burnsville, MN and is specialized in Mental Health (Including Community Mental Health Center). Lifespan Of Minnesota, Inc. practices in Burnsville, MN. The NPI Number for Lifespan Of Minnesota, Inc. is 1710097274 and holds a License No. 7076053 00 (Minnesota).

The current practice location address for Lifespan Of Minnesota, Inc. is 12425 River Ridge Blvd, Burnsville, MN and can be reached out via phone at 952-562-8500 and via fax at 952-562-8501.

Location: 12425 River Ridge Blvd, Burnsville, MN, 55337-4871
institution
Provider Profile Details
NPI Number
1710097274
Provider Name
Lifespan Of Minnesota, Inc.
Credential
Provider Entity Type
Organization
Address
12425 River Ridge Blvd, Burnsville, MN, 55337-4871
Phone Number
952-562-8500
Fax Number
952-562-8501
Provider Enumeration Date
08/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
454T4DA 01 MN BLUE CROSS BLUE SHIELD
102020 01 MN UCARE
100598 01 MN HEALTHPARTNERS
707605300 05 MN
787619000 05 MN
institution
Provider Business Practice Location Address Details
Address
12425 River Ridge Blvd
City
State
Zip
55337-4871
Phone Number
952-562-8500
Fax Number
952-562-8501
person
Provider Business Mailing Address Details
Address
12425 River Ridge Blvd
City
State
Zip
55337-4871
Phone Number
952-562-8500
Fax Number
952-562-8501
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
7076053 00 (Minnesota)
Definition
Definition to come...
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