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Avalon Programs, LLC

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI 1104950591 · NPPES record last updated Dec 10, 2008

Key facts

NPI
1104950591
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1016848 (MN)
Legal business name
AVALON PROGRAMS, LLC
Practice address
2800 University Ave SE
Suite 202
Minneapolis, MN 55414
Phone
(612) 638-2282
Fax
(612) 326-7642
NPI assigned
Mar 15, 2007
Organization subpart
No

Authorized official

Name
Paul Lindeman
Title
Director - Revenue Cycle MGMT
Phone
(612) 326-7566

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Jessica Harris, LADC Addiction (Substance Use Disorder) Counselor · Minneapolis, MN · NPI 1316236623
    NPD (past) ADDICTION (SUBSTANCE USE DISORDER)

National Provider Directory

Tax ID family
Avalon Meridian Behavioral Health (12 organizations share this tax ID)

Locations

550 Main St
Ste 230
Saint Paul, MN 55112
Phone (612) 326-7558

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YA0400X 1016848 MN Yes
Substance Abuse Rehabilitation Facility 324500000X 1016848-4-CDT MN

Addresses

Primary practice location

2800 University Ave SE
Suite 202
Minneapolis, MN 55414

Mailing address

550 Main St
Ste 230
New Brighton, MN 55112
Phone (612) 326-7600

Other names

  • Avalon - Prospect Park Doing business as

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Addiction (Substance Use Disorder) Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.