Organization
NICE HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON TEMILADE ADERINKOMI (CEO)
(651) 334-0720
Entity
Organization
Contact information
Practice address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(651) 334-0720
Mailing address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(651) 334-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
11/01/2024
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