Woodland Centers
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cosmos, MN
NPI 1407489651 · NPPES record last updated Jul 13, 2020
Key facts
- NPI
- 1407489651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- WOODLAND CENTERS
- Practice address
- 215 Milkyway St S
Cosmos, MN 56228-7726 - Phone
- (320) 877-7220
- Fax
- (320) 877-7479
- NPI assigned
- Feb 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Ashley Kjos
- Title
- Ceo
- Phone
- (320) 235-4613
Corporate family (same tax ID) 5
Practitioners 3
-
Ashley Ann Kjos, PSY.D.
-
Charles Lamp, LMFT
National Provider Directory
- Tax ID family
- West Central Comm SVC C
Locations
215 Milkyway St S
Cosmos, MN 56228
Phone (320) 877-7220
1125 6th St SE
Willmar, MN 56201
Phone (320) 231-9148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
215 Milkyway St S
Cosmos, MN 56228-7726
Mailing address
1125 6TH St SE
Willmar, MN 56201-4675
Phone (320) 235-4613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 854855205 | Medicaid | MN |
Other providers in Cosmos, MN
- Catherine Elizabeth Towne
- Richard Harvey Tracy
- Lance Triplett
- Evelyn Marie Waters
- Julia Marie Woelfel
All providers in Cosmos, MN · Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.