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Family Revelations Inc.
Adolescent and Children Mental Health Clinic/Center in Maplewood, Minnesota
NPI 1790212926

Family Revelations Inc. is an Adolescent and Children Mental Health Clinic/Center based in Maplewood, MN and is specialized in Adolescent and Children Mental Health. Family Revelations Inc. practices in Maplewood, MN. The NPI Number for Family Revelations Inc. is 1790212926 and holds a License No. 3335 (Minnesota).

The current practice location address for Family Revelations Inc. is 1705 Cope Ave E Ste I, Maplewood, MN and can be reached out via phone at 651-319-6484 and via fax at 651-925-0442.

Location: 1705 Cope Ave E Ste I, Maplewood, MN, 55109-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790212926
Provider Name
Family Revelations Inc.
Credential
Provider Entity Type
Organization
Address
1705 Cope Ave E Ste I, Maplewood, MN, 55109-2639
Phone Number
651-319-6484
Fax Number
651-925-0442
Provider Enumeration Date
05/18/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134490469 05 MN
institution
Provider Business Practice Location Address Details
Address
1705 Cope Ave E Ste I
City
Maplewood
State
Minnesota
Zip
55109-2639
Phone Number
651-319-6484
Fax Number
651-925-0442
person
Provider Business Mailing Address Details
Address
1705 Cope Ave E Ste I
City
Maplewood
State
Minnesota
Zip
55109-2639
Phone Number
651-319-6484
Fax Number
651-925-0442
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
3335 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
3335 (Minnesota)
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
3335 (Missouri)
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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