Healthcare Provider Details

I. General information

NPI: 1376228684
Provider Name (Legal Business Name): RAMSEY COUNTY MENTAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 UNIVERSITY AVE W
SAINT PAUL MN
55104-3453
US

IV. Provider business mailing address

1919 UNIVERSITY AVE W
SAINT PAUL MN
55104-3453
US

V. Phone/Fax

Practice location:
  • Phone: 651-266-7999
  • Fax:
Mailing address:
  • Phone: 651-266-7999
  • Fax:

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

VIII. Authorized Official

Name: SOPHIA THOMPSON
Title or Position: DEPUTY DIRECTOR SOCIAL SERVICES
Credential: MSW
Phone: 651-266-7999