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Contact Information

NOVA BHS
521 TANGLEWOOD DR.
SHOREVIEW, MN55126
 Phone: 612-306-4721
 Fax: 763-434-6570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NOVA BHS

NPI # 1598150930
LBN Legal business name NOVA BHS
Authorized official MARY LASSEGARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2015
Last updated 04/02/2015 - About 11 years ago
Identifiers
MN License # LP2187
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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