Provider Demographics
NPI:1710582168
Name:PAPES, MIKKE (MSW, LADC, LGSW)
Entity Type:Individual
Prefix:
First Name:MIKKE
Middle Name:
Last Name:PAPES
Suffix:
Gender:F
Credentials:MSW, LADC, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:763-286-5392
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:763-286-5392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32356101YM0800X
MN305806101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health