OrganizationActive
Advanced Psychological Services, LLC
NPI 1053066902 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mankato, MN
Provider details
- NPI number
- 1053066902
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kesha Fettig, Clinic Coordinator(507) 735-6449
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Practice location
304 Belle Ave
Mankato, MN 56001-5250
Phone: (877) 909-5511
Fax: (507) 888-0001
Approximate (ZIP-level) locationGet directions
Mailing address
304 Belle Ave
Mankato, MN 56001-5250
Other names (DBA / former)
- Doing business as
- Advanced Psychological Services, LLC
- Doing business as
- Advanced Psychological Services, LLC
- Other name
- Timothy Benesch
Registry dates
- Enumerated
- 2022-02-18
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.