OrganizationActive
Holistic Behavioral Health LLC
NPI 1770308652 · Mental Illness Community Based Residential Treatment Facility · Saint Paul, MN
Provider details
- NPI number
- 1770308652
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stella Nyakundi, Co-Owner(763) 213-9359
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1821 University Ave W # 205
Saint Paul, MN 55104-2801
Phone: (763) 213-9359
Fax: (651) 780-7216
Street-level locationGet directions
Mailing address
1821 University Ave W # 205
Saint Paul, MN 55104-2801
Registry dates
- Enumerated
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.