Organization
HENNEPIN COUNTY
Active
Other names
Hennepin County Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE VAN KEULEN (ADMINISTRATIVE MANAGER)
(612) 596-0841
Entity
Organization
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
(612) 596-0857
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07655
SOCIAL WORK LICENSE
MN
Enumeration date
05/23/2007
Last updated
08/22/2020
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