FAMILY LIFE MENTAL HEALTH CENTER – Clinical Social Worker, NPI 1760489751

FAMILY LIFE MENTAL HEALTH CENTER is a healthcare provider. based in Coon rapids, Minnesota. specializing in Clinical Social Worker. The organization holds a License No. 8 (MN). The NPI Number for FAMILY LIFE MENTAL HEALTH CENTER is 1760489751

Main info

Organization
Name
FAMILY LIFE MENTAL HEALTH CENTER
NPI
1760489751
Phone
(763) 427-7964
Address
1930 COON RAPIDS BLVD NW
Authorized Official
ROBERT SULLIVAN EXECUTIVE DIRECTOR LICSW
Enumeration Date
5 July 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FAMILY LIFE MENTAL HEALTH CENTER

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    COON RAPIDS, MN 554334708

    Phone: (763) 427-7964

    Fax: (763) 427-7976

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55433)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for FAMILY LIFE MENTAL HEALTH CENTER?
FAMILY LIFE MENTAL HEALTH CENTER — NPI 1760489751 — is the standard way to identify this listing.
Does CMS list FAMILY LIFE MENTAL HEALTH CENTER as active?
Yes — FAMILY LIFE MENTAL HEALTH CENTER is active in the NPI listing used on this page.
What is FAMILY LIFE MENTAL HEALTH CENTER's specialty?
The listing groups FAMILY LIFE MENTAL HEALTH CENTER with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for FAMILY LIFE MENTAL HEALTH CENTER?
FAMILY LIFE MENTAL HEALTH CENTER's geographic hint is Coon Rapids, Minnesota in our summary view.
Why does FAMILY LIFE MENTAL HEALTH CENTER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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