Greenhaven Therapy, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Anoka, MN
NPI 1699239194 · NPPES record last updated Jan 29, 2019
Key facts
- NPI
- 1699239194
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- GREENHAVEN THERAPY, LLC
- Practice address
- 540 Greenhaven Rd Ste 204
Anoka, MN 55303-1675 - Phone
- (763) 203-3164
- Fax
- (651) 925-0524
- NPI assigned
- Jan 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Jason Cook
- Title
- Owner/Therapist
- Phone
- (763) 203-3164
Practitioners 3
-
Lejla Lisinovic, LPCC
-
Susan Nelson, MS
National Provider Directory
Locations
540 Greenhaven Rd
Ste 204
Anoka, MN 55303
Phone (763) 203-3164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
540 Greenhaven Rd Ste 204
Anoka, MN 55303-1675
Mailing address
540 Greenhaven Rd Ste 204
Anoka, MN 55303-1675
Phone (763) 203-3164
Other providers in Anoka, MN
- Gail Helen Goss
- Gabrielle Mae Gould
- Madison Leigh Graw
- Ahren F. Grebner
- Natasha Green
- Katlyn Suzanne Gross
- Group Health Plan, Inc
- Group Health Plan, Inc
- Group Health Plan, Inc
- Group Health Plan, Inc.
All providers in Anoka, 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 Jan 29, 2019. 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.