Sue Hall'S Place to Grow LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP3509 Issued in MN

Legal business name

SUE HALL'S PLACE TO GROW LLC

Practice address

6015 E Superior St
Duluth, MN 55804-2538

Phone

(218) 464-4688

Fax

(218) 464-4449

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Susan Ruth Hall, MSED., L.P.

Title

Owner Licensed Psychologist

Phone

(218) 464-4688

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Sara Rachel Modec, LMFT

  • Marriage & Family Therapist
  • Duluth, MN
  • NPI 1417691155
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1124448493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042538",
            "telephone_number": "218-464-4688",
            "fax_number": "218-464-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042538",
            "telephone_number": "218-464-4688",
            "fax_number": "218-464-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE HALL'S PLACE TO GROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-464-4688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED., L.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417009804",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729724600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Stunek, APRN, CNP
• Kristina Balck Sturgell, M.D.
• Nancy Lynn Sudak, MD
• Ann Caroline Sudoh
• Kenji Sudoh
• Angela Rose Suihkonen
• Laura Suihkonen
• Marie Ellen Sullivan
• Gail Sue Summerville
• Hayli Jean Sundgaard, RN, BSN

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.