Active NPI
Quad Cities Therapy Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia, MN
National Provider Identifier
1275907974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 24499
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teresa Ann Larrabee, MSW, LGSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Angora, MN
- NPI 1598252983
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.