1225181704 NPI number — HMONG AMERICAN FAMILY COUNSELING SERVICES

Table of content: (NPI 1225181704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225181704 NPI number — HMONG AMERICAN FAMILY COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HMONG AMERICAN FAMILY COUNSELING SERVICES
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:
1225181704
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 EMPIRE DR
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55103-1856
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-343-5929
Provider Business Mailing Address Fax Number:
651-458-5255

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 EMPIRE DR
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55103-1856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-343-5929
Provider Business Practice Location Address Fax Number:
651-458-5255
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VUE
Authorized Official First Name:
MANA
Authorized Official Middle Name:
Authorized Official Title or Position:
THERAPIST
Authorized Official Telephone Number:
651-343-5929

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  1470 , 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)

  • Identifier: 108960 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: I366 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 1356492250 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 62-46883 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 160G1HM . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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