Healthcare Provider Details

I. General information

NPI: 1962757617
Provider Name (Legal Business Name): ARUBAH EMOTIONAL HEALTH SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 42ND AVE N FL 3
MINNEAPOLIS MN
55412-1711
US

IV. Provider business mailing address

705 42ND AVE N FL 3
MINNEAPOLIS MN
55412-1711
US

V. Phone/Fax

Practice location:
  • Phone: 612-284-8115
  • Fax: 763-273-8892
Mailing address:
  • Phone: 612-284-8115
  • Fax: 763-273-8892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2538
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number2538
License Number StateMN

VIII. Authorized Official

Name: TAMIA MCLAUGHLIN
Title or Position: EMPLOYEE OPERATIONS
Credential:
Phone: 612-284-8115