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

Family Life Mental Health Center

Organization Clinical Social Worker · NPI 1760489751

Family Life Mental Health Center is a Clinical Social Worker in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

1930 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4708
Phone: (763) 427-7964
Fax: (763) 427-7976
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8 (MN)

Record details

NPI number1760489751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Sullivan — Executive Director · (763) 427-7964
NPI enumeratedJuly 5, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708

Other providers in Coon Rapids