Organization
FAMILY ADOLESCENTS AND CHILDREN THERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN VAN BLARCUM LMFT (MANAGING DIRECTOR)
(952) 938-2600
Entity
Organization
Contact information
Practice address
4655 NICOLS RD, STE 206, EAGAN, MN 55122-3425
(952) 936-2800
(651) 405-0358
Mailing address
1385 MENDOTA HEIGHTS RD STE 200, MENDOTA HEIGHTS, MN 55120-1289
(651) 379-9800
(651) 405-0358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7571675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326658300
—
MN
05
—
326658301
—
MN
Enumeration date
10/05/2006
Last updated
11/16/2018
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