Healthcare Provider Details

I. General information

NPI: 1891725883
Provider Name (Legal Business Name): KNOW THE TRUTH MINISTRIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 STONE CREEK DR SUITE 140
CHANHASSEN MN
55317-4605
US

IV. Provider business mailing address

7945 STONE CREEK DR SUITE 140
CHANHASSEN MN
55317-4605
US

V. Phone/Fax

Practice location:
  • Phone: 952-974-3999
  • Fax: 952-974-3780
Mailing address:
  • Phone: 952-974-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP3478
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP2178
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP3948
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP4675
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW9379
License Number StateMN
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP2484
License Number StateMN

VIII. Authorized Official

Name: DR. HAROLD A BAUMCHEN
Title or Position: EXECUTIVE DIRECTOR
Credential: PSY. D., LP
Phone: 952-974-3999