Organization
HEALTH AND WELLNESS COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD EARL HOBBS LMFT (DIRECTOR OF OPERATIONS)
(651) 338-6289
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
(612) 706-9617
Mailing address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
(612) 706-9617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
07/05/2019
Last updated
12/14/2021
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