Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Mental Health - Abbott Northwestern Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
800 E 28TH ST, 6TH FL, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
(612) 863-2596
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/12/2006
Last updated
01/22/2025
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