| Organization Name: | NORTH STAR MENTAL HEALTH, LLC |
| NPI Number: | 1316286974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLO A. GIACOMONI (PSYCHOLOGIST) |
| Mailing Address: | 2984 Rice St Little Canada |
| State: | MN US |
| Postal Code: | 551132230 |
| Phone Number: | 6513144350 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2013 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5506 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |