Provider Demographics
NPI:1750976999
Name:BALDWIN THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:BALDWIN THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:701-340-1216
Mailing Address - Street 1:2201 15TH ST SW # LL5
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-6935
Mailing Address - Country:US
Mailing Address - Phone:701-340-1216
Mailing Address - Fax:
Practice Address - Street 1:2201 15TH ST SW # LL5
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6935
Practice Address - Country:US
Practice Address - Phone:701-838-9550
Practice Address - Fax:701-838-9569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty