Provider Demographics
NPI:1881690899
Name:FAMILYMEANS
Entity Type:Organization
Organization Name:FAMILYMEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING / BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-789-4039
Mailing Address - Street 1:1875 NORTHWESTERN AVE S
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-7534
Mailing Address - Country:US
Mailing Address - Phone:651-439-4840
Mailing Address - Fax:651-439-4894
Practice Address - Street 1:1875 NORTHWESTERN AVE S
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-7534
Practice Address - Country:US
Practice Address - Phone:651-439-4840
Practice Address - Fax:651-439-4894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN800792-1-MHC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty