1053548198 NPI number — A BRIEF THERAPY CENTER OF ROCHESTER, LLC

Table of content: (NPI 1053548198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053548198 NPI number — A BRIEF THERAPY CENTER OF ROCHESTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A BRIEF THERAPY CENTER OF ROCHESTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053548198
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 N BROADWAY
Provider Second Line Business Mailing Address:
SUITE 154
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55906-4144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-280-6054
Provider Business Mailing Address Fax Number:
507-280-6010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2333 HAWTHORN HILL RD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55906-8582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-280-6054
Provider Business Practice Location Address Fax Number:
507-280-6010
Provider Enumeration Date:
06/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KLIEWER
Authorized Official First Name:
ROSELLA
Authorized Official Middle Name:
G
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
507-280-6054

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  1526 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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