Healthcare Provider Details

I. General information

NPI: 1770664997
Provider Name (Legal Business Name): RAINBOW BEHAVIORAL HEALTH SERVICES CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 9TH ST
WINDOM MN
56101-0443
US

IV. Provider business mailing address

305 9TH ST P O BOX 443
WINDOM MN
56101-0443
US

V. Phone/Fax

Practice location:
  • Phone: 507-831-4699
  • Fax: 507-831-4755
Mailing address:
  • Phone: 507-831-4699
  • Fax: 507-831-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP3769
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number830918-2-CDT
License Number StateMN

VIII. Authorized Official

Name: MS. KAREN LEE BRINKMAN
Title or Position: CEO OWNER
Credential: MS, LP, LPC
Phone: 507-831-4699