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VLW LLC
NPI 1336628478
Clinic/Center - Mental Health (Including Community Mental Health Center) in Blaine, MN

Active since August 09, 2018
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449(612) 799-6652 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2021, Apr 22, 2021, Aug 9, 2018 (3 updates tracked since 2018).

About Vlw Llc NPPES

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

VLW LLC (NPI 1336628478) is a healthcare organization registered as a mental health (including community mental health center) in Blaine, Minnesota and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Brooklyn Park and lists Amanda Adell Wirth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336628478
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameVLW LLC
Location Address4255 PHEASANT RIDGE DR NE STE 412Blaine, MN 55449-5066
Mailing Address8578 Dunkirk Ct NeBlaine, MN 55449-6789 · (612) 799-6652
Phone(612) 799-6652
Organization SubpartNo
Authorized OfficialAmanda Adell WirthCeo · (612) 799-6652
Enumeration DateAugust 9, 2018
Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1336628478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · 3061
4255 PHEASANT RIDGE DR NE STE 412, Blaine, MN 55449
Open in Google Maps ↗

Secondary Practice Location 1

Location 17077 Northland Cir N Ste 330Brooklyn Park, MN 55428-1567 · Phone (612) 799-6652

Other Identifiers 1

Medicaid5724462MN

Other Providers at the Same Location NPPES 20

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

OLIVIA MARIE WALLS MA, LMFT
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3754
BREANNA MICHELLE HOFFMAN LMFT
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3755
MRS. JENNIFER KATHRYN LARSON MA
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3754
AMY JOY SENAPATIRATNE
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 742-2526
BREANNA HOFFMAN THERAPEUTIC SERVICES
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3755
ANCHOR AND BLOOM THERAPY PLLC
Counselor (Mental Health)
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (612) 384-3472
BRITTANY DIANE HENDERSON LPCC
Counselor (Mental Health)
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3754
ABBEY GITZEL THERAPY L.L.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (612) 355-7919

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 Vlw LLC's NPI number?

The NPI number for Vlw LLC is 1336628478. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Vlw LLC located?

Vlw LLC is located at 4255 Pheasant Ridge Dr NE Ste 412, Blaine, MN 55449. The listed phone number is (612) 799-6652.

What is Vlw LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Vlw LLC was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.