# CENTRAL MINNESOTA MENTAL HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164934303
- **Authorized official:** MR. RICHARD LEE PHD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 202-2033

## Contact information

- **Practice address:** 253 8TH STREET NW, SUITE A, ELK RIVER, MN 55330-1780
- **Practice address phone:** (763) 441-3770
- **Practice address fax:** (763) 441-9057
- **Mailing address:** 3400 1ST ST N STE 101, SAINT CLOUD, MN 56303-1924
- **Mailing address phone:** (320) 202-2000
- **Mailing address fax:** (320) 253-1684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 800356-1-MHC | MN | Yes |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 08/20/2018