Developmental Impact Llc

LBN: Developmental Impact Llc
Developmental Impact Llc is an health care organization with primary practice located at 720 8Th Ave N , Saint Cloud MN 56303-3420. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Developmental Impact Llc can be contacted via phone (320) 420-2234, or through Schreifels, Theresa via phone (320) 420-2234.

Contact Information

Primary practice address
720 8Th Ave N Saint Cloud MN 56303-3420
Phone: (320) 420-2234
Fax: (320) 251-0217
Website:
Map and Directions
Authorized official contact:
Name: Schreifels, Theresa LMFT
Phone: (320) 420-2234

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2474 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 2474 Minnesota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 2474 Minnesota

Profile Details

NPI number 1669901393
LBN Legal business name Developmental Impact Llc
DBA Doing business as
Authorized official Schreifels, Theresa LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669901393 NPPES
Minnesota MEDICAID 1720327364

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