Provider Demographics
NPI:1093490955
Name:MPOWERME BEHAVIORAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:MPOWERME BEHAVIORAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LGSW, LADC
Authorized Official - Phone:763-286-5392
Mailing Address - Street 1:1807 MARKET BLVD # 125
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-3492
Mailing Address - Country:US
Mailing Address - Phone:651-274-0310
Mailing Address - Fax:
Practice Address - Street 1:1185 CONCORD ST N STE 426C
Practice Address - Street 2:
Practice Address - City:SOUTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-1188
Practice Address - Country:US
Practice Address - Phone:651-274-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1710582168Medicaid