Vlw Llc - Mental Health Clinic in Blaine, MN

Vlw Llc is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Blaine, Minnesota. The current practice location for Vlw Llc is 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, Minnesota. For appointments, you can reach them via phone at (612) 799-6652. The mailing address for Vlw Llc is 8578 Dunkirk Ct Ne, Blaine, Minnesota and phone number is (612) 799-6652.

Vlw Llc is licensed to practice in Minnesota (license number 3061) and its NPI number is 1336628478. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (612) 799-6652.

Contact Information

Vlw Llc
4255 Pheasant Ridge Dr Ne Ste 412
Blaine
MN 55449-5066
(612) 799-6652
Not Available

Mental Health Clinic Profile

Full NameVlw Llc
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location4255 Pheasant Ridge Dr Ne Ste 412, Blaine, Minnesota
Authorized Official Name and PositionAmanda Adell Wirth (CEO)
Authorized Official Contact6127996652
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vlw Llc
8578 Dunkirk Ct Ne
Blaine
MN 55449-6789

Ph: (612) 799-6652
Vlw Llc
4255 Pheasant Ridge Dr Ne Ste 412
Blaine
MN 55449-5066

Ph: (612) 799-6652

NPI Details:

NPI Number1336628478
Provider Enumeration Date08/09/2018
Last Update Date11/17/2021
Certification Date11/17/2021

Medical Identifiers

Medical identifiers for Vlw Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336628478NPI-NPPES
5724462MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 3061 (Minnesota)Primary

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