Bodhi Education Services, LLC
Organization Active NPI Clinical Social Worker · White Bear Township, MN
NPI 1518602176 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1518602176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BODHI EDUCATION SERVICES, LLC
- Practice address
- 5433 Jefferson CT
White Bear Township, MN 55110-5770 - Phone
- (706) 834-0139
- NPI assigned
- Apr 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Samantha Hulstein, LICSW
- Title
- Owner
- Phone
- (706) 834-0139
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
5433 Jefferson CT
White Bear Township, MN 55110-5770
Mailing address
5433 Jefferson CT
White Bear Township, MN 55110-5770
Phone (706) 834-0139
Other providers in White Bear Township, MN
All providers in White Bear Township, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. 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.