Effective Living Center, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

830523-1-CDT Issued in MN

Legal business name

EFFECTIVE LIVING CENTER, INC

Practice address

821 W Saint Germain St
Saint Cloud, MN 56301-3515

Phone

(320) 259-5381

Fax

(320) 259-6171

NPI assigned

Aug 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Colleen Walker-Stedham, MS, LSW, LPC

Title

President

Phone

(320) 259-5381

Specialties & licenses 1

Addresses

Tax ID family

Effective Living Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Effective Living Center, Inc

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
  • NPI 1538488721
  NPD tax ID
• Effective Living Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Little Falls, MN
  • NPI 1750496295
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124133475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013515",
            "telephone_number": "320-259-5381",
            "fax_number": "320-259-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W SAINT GERMAIN ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013515",
            "telephone_number": "320-259-5381",
            "fax_number": "320-259-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER-STEDHAM",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-259-5381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "830523-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlin Eckes, PA
• Ecumen SBC St. Cloud Properties, LLC
• Ecumen SBC St. Cloud Properties, LLC
• Ecumen SBC St. Cloud Properties, LLC
• Educare Services LTD
• Effective Living Center, Inc
• Hodan Egal
• Emily K Egan, M.S., CCC-SLP
• Matthew Eggebrecht, M.D.
• Damon Eggers, OD

• Addiction (Substance Use Disorder) Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.