FAMILY LIFE MENTAL HEALTH CENTER
NPI 1760489751
Social Worker - Clinical in Coon Rapids, MN

Active since July 05, 2005
1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 427-7964(763) 427-7976 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Life Mental Health Center NPPES

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

FAMILY LIFE MENTAL HEALTH CENTER (NPI 1760489751) is a healthcare organization registered as a clinical in Coon Rapids, Minnesota and active in the NPI registry since July 2005. The organization lists Robert Sullivan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760489751
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFAMILY LIFE MENTAL HEALTH CENTER
Location Address1930 COON RAPIDS BLVD NWCoon Rapids, MN 55433-4708
Mailing Address1930 Coon Rapids Blvd NwCoon Rapids, MN 55433-4708 · (763) 427-7964 · Fax (763) 427-7976
Fax(763) 427-7976
Organization SubpartNo
Authorized OfficialRobert SullivanExecutive Director · (763) 427-7964
Enumeration DateJuly 5, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1760489751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 8
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1930 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Other Identifiers 5

Other1023452MN · Preferred One
Other62-20356MN · Ubh
Other04358FAMN · Bcbs
Other106982MN · Bhp U-care
Other3868MN · Health Partners

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 19

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

Social Worker
1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Social Worker
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Social Worker (Clinical)
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Social Worker (Clinical)
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Social Worker (Clinical)
1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN 55433
Marriage & Family Therapist
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Social Worker (Clinical)
1930 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Psychologist
1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760489751, enumerated as an "organization" on July 05, 2005.

The provider is located at 1930 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 and the phone number is (763) 427-7964.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.