Organization
THE CENTER FOR BEHAVIORAL HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA AMARIS (DIRECTOR OF CLINICAL SERVICES)
(651) 765-4306
Entity
Organization
Contact information
Practice address
2336 LEXINGTON AVE N, SAINT PAUL, MN 55113-4343
(651) 765-4306
Mailing address
2336 LEXINGTON AVE N, SAINT PAUL, MN 55113-4343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4391
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216G1CE
BCBS
MN
Enumeration date
10/25/2006
Last updated
08/22/2020
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