Leech Lake Outpatient Treatment Program
Counselor - Addiction (Substance Use Disorder)
About Leech Lake Outpatient Treatment Program
Leech Lake Outpatient Treatment Program is a healthcare organization providing Counselor - Addiction (Substance Use Disorder) services, with specialized expertise in Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1275701666.
The authorized official for Leech Lake Outpatient Treatment Program is GLORIA MELLADO. The organization is headquartered at 6095 161ST AVE NW, Cass Lake, Minnesota 56633. The main office can be reached at (218) 335-8308.
It is part of LEECH LAKE BAND OF OJIBWE. Leech Lake Outpatient Treatment Program has been NPI-registered since 2008.
Locations & Contact
Primary Location
- Address
- 6095 161ST AVE NW
- City
- Cass Lake
- State
- Minnesota
- ZIP
- 56633-3428
- Phone
- (218) 335-8308
- Fax
- (218) 335-8307
Authorized Official
- Name
- GLORIA MELLADO
Mailing Address
- Address
- 6905 161ST ST. NW
- City
- CASS LAKE
- State
- MN
- ZIP
- 566333428
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Classification
- Counselor
- Specialization
- Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
- Group Practice
- LEECH LAKE BAND OF OJIBWE
Frequently Asked Questions
What is Leech Lake Outpatient Treatment Program's NPI number?
What does Leech Lake Outpatient Treatment Program specialize in?
Where is Leech Lake Outpatient Treatment Program located?
Does Leech Lake Outpatient Treatment Program accept Medicare?
Does Leech Lake Outpatient Treatment Program offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Leech Lake Outpatient Treatment Program holds NPI 1275701666, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.