<Unavail>

LBN: Namu Integrative Therapy Services, Llc
<Unavail> is an health care organization with primary practice located at 1145 Grand Ave # 101 , Saint Paul MN 55105-2629. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Namu Integrative Therapy Services, Llc can be contacted via phone (612) 594-6910, or through Kim, Hye-Kyong via phone (612) 424-0051.

Contact Information

Primary practice address
1145 Grand Ave # 101 Saint Paul MN 55105-2629
Phone: (612) 594-6910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Hye-Kyong PSYD, LP, SEP
Phone: (612) 424-0051

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1275175242
LBN Legal business name Namu Integrative Therapy Services, Llc
DBA Doing business as <Unavail>
Authorized official Kim, Hye-Kyong PSYD, LP, SEP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2019
Last updated May 25th, 2023 - about 3 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 1275175242 NPPES
Minnesota MEDICAID 1962759217

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