Jabez Youth and Family LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1884 Issued in MN

Legal business name

JABEZ YOUTH AND FAMILY LLC

Practice address

3901 1St Ave S
Minneapolis, MN 55409-1601

Phone

(612) 508-3603

NPI assigned

Sep 20, 2015

Organization subpart

No

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

Authorized official

Name

Steven Cambrice, LMFT

Title

Founder

Phone

(612) 508-3603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1154790152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091601",
            "telephone_number": "612-508-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ YOUTH AND FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "CAMBRICE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "612-508-3603",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.