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

Q: What is Family Life Mental Health Center's NPI number?

The NPI number for Family Life Mental Health Center is 1760489751. It was assigned to this organization in the NPPES registry on July 5, 2005.

Q: What is Family Life Mental Health Center's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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: August 16, 2026.

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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

Phone(763) 427-7964

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

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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 20

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

MR. RAND OLLEN ADAMS L.P.

Psychologist

1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH
COON RAPIDS, MN 55433

Anoka County (763) 427-7964

DAVID J MATHEWS LICSW

Social Worker (Clinical)