Individual provider · Type 1 NPI

Wayne Michael Effertz, CPRS, MA, LADC

Community/Behavioral Health Agency · Roseville, MN

NPI number 1992689814 Active

Practice location

2311 Woodbridge St
Roseville, MN 55113-4710

Call (651) 773-0832 Map

Fax (651) 773-9115

Mailing address

2324 132nd Ln NW
Minneapolis, MN 55448-2570

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X830320-2-CDT (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

12 other providers at this address

About NPI 1992689814

Wayne Michael Effertz, CPRS, MA, LADC's National Provider Identifier is 1992689814, issued on Aug 4, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Roseville, MN. The record was last updated on Aug 4, 2025.