| Brightstar Behavioral Health Services Llc | |
|
5703 Lachman Ave Ne Albertville MN 55301-3973 | |
| (763) 291-3169 | |
| Not Available |
| Full Name | Brightstar Behavioral Health Services Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5703 Lachman Ave Ne, Albertville, Minnesota |
| Authorized Official Name and Position | Pius Awandem Tanyifor (DIRECTOR) |
| Authorized Official Contact | 7632913169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightstar Behavioral Health Services Llc 7722 Mackenzie Ave Ne Otsego MN 55330-5031 Ph: (763) 291-3169 | Brightstar Behavioral Health Services Llc 5703 Lachman Ave Ne Albertville MN 55301-3973 Ph: (763) 291-3169 |
| NPI Number | 1386510378 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386510378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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