Provider Demographics
NPI:1871879759
Name:NATURAL CONNECTIONS LEARNING CENTER
Entity type:Organization
Organization Name:NATURAL CONNECTIONS LEARNING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:651-307-0981
Mailing Address - Street 1:PO BOX 16324
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-0324
Mailing Address - Country:US
Mailing Address - Phone:952-472-2422
Mailing Address - Fax:952-472-2422
Practice Address - Street 1:1801 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-1003
Practice Address - Country:US
Practice Address - Phone:952-472-2422
Practice Address - Fax:952-472-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)