Ellison Center

LBN: Ellison Center
Ellison Center is an health care organization with primary practice located at 600 25Th Ave S Ste 102 , Saint Cloud MN 56301-4820. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Ellison Center can be contacted via phone (320) 406-1600, or through Schreifels, Theresa J via phone (320) 406-1600.

Contact Information

Primary practice address
600 25Th Ave S Ste 102 Saint Cloud MN 56301-4820
Phone: (320) 406-1600
Fax: (320) 406-1700
Website:
Map and Directions
Authorized official contact:
Name: Schreifels, Theresa J MS LMFT IMH-E
Phone: (320) 406-1600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1740744242
LBN Legal business name Ellison Center
DBA Doing business as
Authorized official Schreifels, Theresa J MS LMFT IMH-E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2019
Last updated Nov 5th, 2020 - about 6 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 1740744242 NPPES
Minnesota MEDICAID 1740744242

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