Healing Artstherapy Services, LLC

Organization Active NPI Community/Behavioral Health Agency · Ham Lake, MN

NPI 1275112575 · NPPES record last updated Apr 5, 2021

Key facts

NPI
1275112575
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
HEALING ARTSTHERAPY SERVICES, LLC
Practice address
1328 McKay Dr NE Unit 100
Ham Lake, MN 55304-6157
Phone
(952) 686-4688
NPI assigned
Apr 5, 2021
Organization subpart
No

Authorized official

Name
Kadra Maalin NPI 1205450947
Title
Director
Phone
(952) 686-4688

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

1328 McKay Dr NE
Unit 100
Ham Lake, MN 55304
Phone (763) 712-1903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1328 McKay Dr NE Unit 100
Ham Lake, MN 55304-6157

Mailing address

8016 Ensign Rd
Minneapolis, MN 55438-1025
Phone (952) 686-4688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2021.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1275112575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 ENSIGN RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554381025",
            "telephone_number": "952-686-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 MCKAY DR NE UNIT 100",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046157",
            "telephone_number": "952-686-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ARTSTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MAALIN",
        "authorized_official_first_name": "KADRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-686-4688"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

All providers in Ham Lake, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.