Grant Booth Pa Dba Booth Therapy

LBN: Grant Booth Pa Dba Booth Therapy
Grant Booth Pa Dba Booth Therapy is an health care organization with primary practice located at 1499 Lincoln Ave , Saint Paul MN 55105-2236. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Grant Booth Pa Dba Booth Therapy can be contacted via phone (651) 690-1542, or through Booth, Grant Edward via phone (651) 690-1542.

Contact Information

Primary practice address
1499 Lincoln Ave Saint Paul MN 55105-2236
Phone: (651) 690-1542
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Booth, Grant Edward MSW, LICSW, ACSW
Phone: (651) 690-1542

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1861915001
LBN Legal business name Grant Booth Pa Dba Booth Therapy
DBA Doing business as
Authorized official Booth, Grant Edward MSW, LICSW, ACSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 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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