Pathways Psychology On Grand, Pllc
LBN: Pathways Psychology On Grand, Pllc
Pathways Psychology On Grand, Pllc is an health care organization with primary practice located at 1053 Grand Ave Suite 116, Saint Paul MN 55105-3022. 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.
Pathways Psychology On Grand, Pllc can be contacted via phone (651) 287-0931, or through Leblond, Jill R via phone (651) 287-0931.
Contact Information
Primary practice address
1053 Grand Ave Suite 116
Saint Paul MN 55105-3022
Phone: (651) 287-0931
Fax: (651) 287-0967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1649281676 |
|---|---|
| LBN Legal business name | Pathways Psychology On Grand, Pllc |
| DBA Doing business as | |
| Authorized official | Leblond, Jill R PSYD, LP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 21st, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649281676 | NPPES |
| Minnesota | Other | 626K2PA | BLUE CROSS BLUE SHIELD ID |
| Minnesota | MEDICAID | 9374051000 | BLUE CROSS BLUE SHIELD ID |
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