Provider Demographics
NPI:1932475647
Name:APPLIED CARE SERVICES, INC.
Entity Type:Organization
Organization Name:APPLIED CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUANN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:612-205-5332
Mailing Address - Street 1:4710 WHITE BEAR PKWY #B200
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110
Mailing Address - Country:US
Mailing Address - Phone:612-205-5332
Mailing Address - Fax:612-435-0263
Practice Address - Street 1:4710 WHITE BEAR PKWY #B200
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110
Practice Address - Country:US
Practice Address - Phone:612-205-5332
Practice Address - Fax:612-435-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4215392-2251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health