| Insight Behavioral Health Partners | |
|
4357 13th Ave S Ste 104 Fargo ND 58103-7504 | |
| (701) 478-4480 | |
| (701) 478-4481 |
| Full Name | Insight Behavioral Health Partners |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4357 13th Ave S Ste 104, Fargo, North Dakota |
| Authorized Official Name and Position | Nicole Domine (LICSW) |
| Authorized Official Contact | 7017100584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Behavioral Health Partners 4357 13th Ave S Ste 104 Fargo ND 58103-3381 Ph: () - | Insight Behavioral Health Partners 4357 13th Ave S Ste 104 Fargo ND 58103-7504 Ph: (701) 478-4480 |
| NPI Number | 1659807949 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659807949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 42998200 (North Dakota) | Primary |
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Shanti Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
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