Organization
CRESTPOINT WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIR STEVAN UTRZAN PH.D., LMFT (PRESIDENT AND CEO)
(612) 900-7021
Entity
Organization
Contact information
Practice address
758 GRAND AVE STE 200, SAINT PAUL, MN 55105-3382
(612) 800-9000
Mailing address
1295 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1371
(612) 900-7021
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1123432
DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
06/11/2024
Last updated
03/05/2025
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