OrganizationActive
Attachment and Family Center of Minnesota
NPI 1053485904 · Clinical Child & Adolescent Psychologist · Chaska, MN
Provider details
- NPI number
- 1053485904
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Nichols, Exescutive Director(952) 234-4632
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
102 N Chestnut St
Chaska, MN 55318-1918
Phone: (952) 475-2818
Fax: (952) 475-3356
Approximate (ZIP-level) locationGet directions
Mailing address
102 N Chestnut St
Chaska, MN 55318-1918
Other names (DBA / former)
- Doing business as
- Family Attachment and Counseling Center
- Doing business as
- Family Attachment and Counseling Center
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2020-05-10
- Certified
- 2020-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.