Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child and Family Specialty Clinic P A

Organization Mental Health Counselor · NPI 1376765529

Child and Family Specialty Clinic P A is a Mental Health Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
4

Practice location Address checks out

4748 Chicago Ave Ste 1
Minneapolis, MN 55407-4311
Phone: (612) 821-1920
Fax: (612) 821-1919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 00215 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9839 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15301 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 1075 (MN)

Record details

NPI number1376765529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanne Gilfix — Cfo · (612) 821-1920
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address4748 Chicago Ave Ste 1, Minneapolis, MN 55407-4311

Other providers in Minneapolis