Provider Demographics
NPI:1043686751
Name:METTA BIRTH AND FAMILY SERVICES
Entity Type:Organization
Organization Name:METTA BIRTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLE-MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSW, LGSW
Authorized Official - Phone:612-567-6463
Mailing Address - Street 1:1849 JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1715
Mailing Address - Country:US
Mailing Address - Phone:612-567-6463
Mailing Address - Fax:
Practice Address - Street 1:5315 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1270
Practice Address - Country:US
Practice Address - Phone:612-567-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREGNANCY & POSTPARTUM SUPPORT MN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN207001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty