Organization
PRAIRIECARE LLC
Active
Other names
PrairieCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R. SETTERBERG MD (PRESIDENT)
(952) 826-8378
Entity
Organization
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443
(763) 762-8800
(763) 315-4669
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
04/20/2021
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