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

Family Based Therapy Associates

Organization Community/Behavioral Health Agency · NPI 1891100293

Family Based Therapy Associates is a Community/Behavioral Health Agency in Chisago City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

11549 Lake Ln Ste 2
Chisago City, MN 55013-9830
Phone: (651) 257-2733
Fax: (651) 257-2783
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 00789 (MN)

Record details

NPI number1891100293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Wallace — Director · (763) 780-1520
NPI enumeratedJune 24, 2014
Last updated in NPPESJune 24, 2014
Mailing address199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831

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