Organization · Type 2 NPI
The Wayside House, Inc
Substance Abuse Rehabilitation Facility · St. Louis Park, MN
Practice location
3705 Park Center Blvd
St. Louis Park, MN 55416-2504
Fax (952) 926-9713
Mailing address
1600 University Ave W Ste 300
St. Paul, MN 55104-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 802632-1-CDT (MN) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
7 other providers at this address
- Andrea Louise Roland, MA, LPCCProfessional Counselor St. Louis Park, MN NPI 1831460286
- Caitlin Mary Kerber, MPS, LADC, LPCCMental Health Counselor St. Louis Park, MN NPI 1174270557
- Carrie Salsness, LADCAddiction (Substance Use Disorder) Counselor St. Louis Park, MN NPI 1023667326
- Kelly Stith, LMFTMarriage & Family Therapist St. Louis Park, MN NPI 1124539853
- Kelly Sve, LAMFTMarriage & Family Therapist St. Louis Park, MN NPI 1649652868
- Mary Beth Bekich Polski, MA, LADC, LPCCProfessional Counselor St. Louis Park, MN NPI 1417298217
- Nicolette UlstromMarriage & Family Therapist St. Louis Park, MN NPI 1073061818
About NPI 1235223652
The Wayside House, Inc's National Provider Identifier is 1235223652, issued on Oct 2, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Louis Park, MN. The record was last updated on Nov 12, 2025.