Organization
DEVELOPMENTAL IMPACT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SCHREIFELS LMFT (CEO)
(320) 420-2234
Entity
Organization
Contact information
Practice address
720 8TH AVE N, SAINT CLOUD, MN 56303-3420
(320) 420-2234
(320) 251-0217
Mailing address
720 8TH AVE N, SAINT CLOUD, MN 56303-3420
(320) 420-2234
(320) 251-0217
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2474
MN
261QM0850X
Adult Mental Health Clinic/Center
2474
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720327364
—
MN
Enumeration date
06/06/2017
Last updated
07/21/2022
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