Malissa Ann Costanzo
OWNER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
About Malissa Ann Costanzo
Malissa Ann Costanzo, OWNER, is a female healthcare professional specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities, registered under National Provider Identifier (NPI) number 1003394479.
Their primary practice is located at 844 8TH AVE SE, Forest Lake, Minnesota 55025. Patients can reach the office at (651) 272-5608. Malissa Ann Costanzo has been NPI-registered since 2018.
Doctor Details
Identity & Credentials
- NPI Number
- 1003394479
- Entity Type
- Individual
- First Name
- Malissa
- Last Name
- Costanzo
- Credential
- OWNER
- Gender
- Female
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 844 8TH AVE SE
- City
- Forest Lake
- State
- Minnesota
- ZIP
- 55025
- Country
- United States
- Phone
- (651) 272-5608
Specialty & Taxonomy
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Classification
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 844 8TH AVE SE
- City
- FOREST LAKE
- State
- MN
- ZIP
- 550251642
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Malissa Ann Costanzo's NPI number?
What does Malissa Ann Costanzo specialize in?
Where is Malissa Ann Costanzo located?
Does Malissa Ann Costanzo accept Medicare?
Does Malissa Ann Costanzo offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Malissa Ann Costanzo is 1003394479.