Organization
W.B.GARRETT CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE BERNARD GARRETT ED.D. (CEO)
(651) 646-8594
Entity
Organization
Contact information
Practice address
570 ASBURY ST, 304-A, SAINT PAUL, MN 55104-1849
(651) 646-8594
Mailing address
570 ASBURY STREET, 304-A, ST. PAUL, MN 55104-1949
(651) 646-8594
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP1234
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096747500
—
MN
01
—
123535
UCARE HEALTHPLAN
MN
01
—
2031702
BEHAVIORAL HEALTH PLAN
—
01
—
6190649
MEDICA HEALTH PLAN
MN
01
—
87726
UNITED BEHAVIORAL HEALTH
MN
Enumeration date
05/17/2013
Last updated
05/17/2013
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