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Contact Information

THELEN THERAPY SERVICES LLC
261 E BROADWAY
TOLLEFSON SUITE
MONTICELLO, MN55362
 Phone: 763-370-0243
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for THELEN THERAPY SERVICES LLC

NPI # 1649937996
LBN Legal business name THELEN THERAPY SERVICES LLC
Authorized official MARK THELEN - (LP LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2021
Last updated 11/22/2021 - About 5 years ago
Identifiers
MN Medicaid 1000693475
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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