Healthcare Provider Details

I. General information

NPI: 1750661120
Provider Name (Legal Business Name): DAHMEN & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E BROADWAY
LITTLE FALLS MN
56345-3280
US

IV. Provider business mailing address

PO BOX 404
LITTLE FALLS MN
56345-0404
US

V. Phone/Fax

Practice location:
  • Phone: 320-630-6422
  • Fax:
Mailing address:
  • Phone: 320-630-6422
  • Fax: 507-702-1063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLPP 0106
License Number StateMN

VIII. Authorized Official

Name: JILL DAHMEN
Title or Position: OWNER, PRESIDENT
Credential:
Phone: 320-630-6422