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NPI Code Detail

MEDICARE: HIGHLAND MEADOWS COUNSELING CENTER, INC.

MEDICARE: HIGHLAND MEADOWS COUNSELING CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11558628545OTHERMNNPI II

General Provider Information

NPI Number : 1558628545
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND MEADOWS COUNSELING CENTER, INC.
Provider Business Mailing Address
First Line : 3737 40TH AVE NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1772
Country : US
Telephone Number : 507-288-6978
Fax Number :
Provider Business Practice Location Address
First Line : 3737 40TH AVE NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1772
Country : US
Telephone Number : 507-288-6978
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : HEATHER CRUZ
Credential : LPCC
Telephone Number : 507-288-6978
Provider Enumeration Date : 04/16/2012
Last Update Date : 04/02/2024

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