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AVALON - PINE CITY
NPI 1316151335
Counselor - Addiction (Substance Use Disorder) in Pine City, MN

Active since May 09, 2007
655 3RD AVE SW, PINE CITY, MN 55063(612) 326-7555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avalon - Pine City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON - PINE CITY (NPI 1316151335) is a healthcare organization registered as an addiction (substance use disorder) in Pine City, Minnesota and active in the NPI registry since May 2007. The organization lists Valerie Bundy, Controller, as its authorized official.

NPPES Registry Identity

NPI1316151335
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameAVALON - PINE CITY
Location Address655 3RD AVE SWPine City, MN 55063-1443
Mailing Address550 Main StNew Brighton, MN 55112-3271 · (612) 326-7555
Phone(612) 326-7555
Organization SubpartNo
Authorized OfficialValerie BundyController · (612) 326-7555
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316151335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 1034226
655 3RD AVE SW, Pine City, MN 55063
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNETTE RAE KUZEL
Specialist
655 3RD AVE SW
PINE CITY, MN 55063
Pine County (320) 629-8055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon - Pine City's NPI number?

The NPI number for Avalon - Pine City is 1316151335. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Avalon - Pine City located?

Avalon - Pine City is located at 655 3rd Ave SW, Pine City, MN 55063. The listed phone number is (612) 326-7555.

What is Avalon - Pine City's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Avalon - Pine City was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.