Provider Demographics
NPI:1891233565
Name:CP CONSULTING & RESEARCH, LLC
Entity Type:Organization
Organization Name:CP CONSULTING & RESEARCH, LLC
Other - Org Name:CAREPROFILER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:LANKOW
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:218-371-9438
Mailing Address - Street 1:2395 UNIVERSITY AVE W STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1511
Mailing Address - Country:US
Mailing Address - Phone:218-371-9438
Mailing Address - Fax:
Practice Address - Street 1:2395 UNIVERSITY AVE W STE 200
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1511
Practice Address - Country:US
Practice Address - Phone:715-475-9663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health