RICHELLE MOEN, PHD LLC
NPI 1801169347
Community/Behavioral Health in Minneapolis, MN
- Organization
- Community/Behavioral Health
About RICHELLE MOEN, PHD LLC
This page provides the complete NPI Profile along with additional information for Richelle Moen, Phd Llc, a provider established in Minneapolis, Minnesota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1801169347 assigned on February 2012. The practitioner's primary taxonomy code is 251S00000X with license number LP2440 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Richelle Naomi Moen Phd (Owner)
- NPI
- 1801169347 Verify this NPI
- Provider Name
- RICHELLE MOEN, PHD LLC
- Entity Type
- Organization
- Location Address
- 4826 CHICAGO AVE STE 207 MINNEAPOLIS, MN 55417
- Location Phone
- (612) 743-7788
- Location Fax
- (612) 824-7341
- Mailing Address
- 4826 CHICAGO AVE STE 207 MINNEAPOLIS, MN 55417
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2012
- Last Update Date
- 02-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- LP2440
- License State
- MN
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801169347, enumerated as an "organization" on February 14, 2012.
The provider is located at 4826 CHICAGO AVE STE 207 MINNEAPOLIS, MN 55417 and the phone number is (612) 743-7788.
Community/Behavioral Health with taxonomy code 251S00000X.
