Healthcare Provider Details

I. General information

NPI: 1841389798
Provider Name (Legal Business Name): PROJECT PATHFINDER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 ASBURY ST STE 300
SAINT PAUL MN
55104-1851
US

IV. Provider business mailing address

570 ASBURY ST STE 300
SAINT PAUL MN
55104-1851
US

V. Phone/Fax

Practice location:
  • Phone: 651-644-8515
  • Fax: 651-644-3451
Mailing address:
  • Phone: 651-644-8515
  • Fax: 651-644-3451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANE NEAL
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 651-644-8515