Provider Demographics
NPI:1407002587
Name:THE U GROUP, LLC
Entity Type:Organization
Organization Name:THE U GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:UJIFUSA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:952-201-5559
Mailing Address - Street 1:6950 FRANCE AVE S
Mailing Address - Street 2:SUITE 12
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2008
Mailing Address - Country:US
Mailing Address - Phone:952-201-5559
Mailing Address - Fax:952-546-9547
Practice Address - Street 1:6950 FRANCE AVE S
Practice Address - Street 2:SUITE 12
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2008
Practice Address - Country:US
Practice Address - Phone:952-201-5559
Practice Address - Fax:952-546-9547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN71871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty