Provider Demographics
NPI:1326410820
Name:ADVANTAGE BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:ADVANTAGE BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MAL, LMFT
Authorized Official - Phone:763-227-8817
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55301-0132
Mailing Address - Country:US
Mailing Address - Phone:763-227-8817
Mailing Address - Fax:
Practice Address - Street 1:14613 WOLF TRL
Practice Address - Street 2:
Practice Address - City:CROSSLAKE
Practice Address - State:MN
Practice Address - Zip Code:56442-3113
Practice Address - Country:US
Practice Address - Phone:763-227-8817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2658106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty