Provider Demographics
NPI:1275331308
Name:THE LANDING OF MINNESOTA, LLC
Entity type:Organization
Organization Name:THE LANDING OF MINNESOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIR
Authorized Official - Middle Name:STEVAN
Authorized Official - Last Name:UTRZAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:612-900-7021
Mailing Address - Street 1:1295 NORTHLAND DR STE 270
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1373
Mailing Address - Country:US
Mailing Address - Phone:612-900-7021
Mailing Address - Fax:
Practice Address - Street 1:6425 HIGHWAY 65 NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-5128
Practice Address - Country:US
Practice Address - Phone:844-526-3464
Practice Address - Fax:651-448-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1124785OtherDEPARTMENT OF HUMAN SERVICES