Organization
DIVERSE MENTAL HEALTH RESPONSE LLC
Active
Other names
Diverse Mental Health Response
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XENG Y PHA LICSW (OWNER)
(651) 425-1614
Entity
Organization
Contact information
Practice address
1400 QUEEN AVE N, MINNEAPOLIS, MN 55411-2926
(651) 425-1614
Mailing address
9216 WHITE OAKS TRL, CHAMPLIN, MN 55316-2675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/13/2023
Last updated
07/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us