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Organization

NORTHEAST YOUTH & FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA K LEWIS-DMELLO LICSW (LICSW)
(651) 379-3404
Entity
Organization

Contact information

Practice address
3490 LEXINGTON AVE N, SUITE 205, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858
Mailing address
3490 LEXINGTON AVE N STE 205, SHOREVIEW, MN 55126-8044
(651) 486-3808
(651) 486-3858

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5965716
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355355800
MN
Enumeration date
09/15/2006
Last updated
01/20/2026
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