NPI Code Details Logo

NPI 1538158506

NPI 1538158506 : BACHMANN AND ASSOCIATES, INC. DBA COUNSELING CARE : LAKE ELMO, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538158506
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BACHMANN AND ASSOCIATES, INC. DBA COUNSELING CARE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/20/2005
-----------------------------------------------------
    Last Update Date     |    11/01/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8669 EAGLE POINT BLVD 
-----------------------------------------------------
    City                 |    LAKE ELMO
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55042-8628
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-379-0444
-----------------------------------------------------
    Fax                  |    651-379-0448
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8669 EAGLE POINT BLVD 
-----------------------------------------------------
    City                 |    LAKE ELMO
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55042-8628
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-379-0444
-----------------------------------------------------
    Fax                  |    651-379-0448
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MARCUS  BACHMANN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    651-379-0444
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    1025223-1-MHC
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.