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PROTEA HEALTH LLC
NPI 1508613795
Counselor - Addiction (Substance Use Disorder) in Saint Cloud, MN

Active since May 04, 2024
720 8TH AVE N, SAINT CLOUD, MN 56303(320) 420-4469 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Protea Health Llc NPPES

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

PROTEA HEALTH LLC (NPI 1508613795) is a healthcare organization registered as an addiction (substance use disorder) in Saint Cloud, Minnesota and active in the NPI registry since May 2024. The organization lists Fardowsa Hassan Iman, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1508613795
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePROTEA HEALTH LLC
Location Address720 8TH AVE NSaint Cloud, MN 56303-3420
Mailing Address720 8th Ave NSaint Cloud, MN 56303-3420 · (320) 420-4469
Phone(320) 420-4469
Organization SubpartNo
Authorized OfficialFardowsa Hassan ImanClinical Director · (320) 420-4469
Enumeration DateMay 4, 2024
NPPES CertifiedMay 4, 2024
✔ NPI 1508613795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
720 8TH AVE N, Saint Cloud, MN 56303
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Other Names 1

Former Legal Business NameProtea Health Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

HANNAH ROGAK LMFT
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 333-9228
ATTACURE, LLC
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 333-9228
LONDA SINNESS WAGNER MS, LMFT, IMH-E
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 407-1110
REBECCA ANN CLUEVER
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 333-9228
PROFOUND THERAPY LLC
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 266-1693
DEVELOPMENTAL IMPACT LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 420-2234
NICOLE J OTIS LMFT
Marriage & Family Therapist
720 8TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 266-1693

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 Protea Health LLC's NPI number?

The NPI number for Protea Health LLC is 1508613795. It was assigned to this organization in the NPPES registry on May 4, 2024.

Where is Protea Health LLC located?

Protea Health LLC is located at 720 8th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 420-4469.

What is Protea Health LLC'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 Protea Health LLC was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.