Organization Active NPI

Quad Cities Therapy Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia, MN
National Provider Identifier
1275907974
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
24499 Issued in MN
Legal business name
QUAD CITIES THERAPY CENTER, LLC
Practice address
8355 Unity Dr Ste 300
Virginia, MN 55792-4061
Phone
(218) 749-3107
Fax
(218) 249-0787
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Ms. Teresa Ann Larrabee, MSW, LGSWNPI 1598252983
Title
Owner, MSW, LGSW
Phone
(218) 391-5653

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 24499 MN Primary

Addresses

Primary practice location

8355 Unity Dr Ste 300
Virginia, MN 55792-4061

Mailing address

8355 Unity Dr Ste 300
Virginia, MN 55792-4061
Phone (218) 749-3107

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1275907974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 UNITY DR STE 300",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924061",
            "telephone_number": "218-749-3107",
            "fax_number": "218-249-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 UNITY DR STE 300",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557924061",
            "telephone_number": "218-749-3107",
            "fax_number": "218-249-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "LARRABEE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, MSW, LGSW",
        "authorized_official_telephone_number": "218-391-5653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LGSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "24499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.