| Midwest Minds | |
|
1937 Woodlane Dr Ste 101 Woodbury MN 55125-4043 | |
| (651) 764-8480 | |
| Not Available |
| Full Name | Midwest Minds |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1937 Woodlane Dr Ste 101, Woodbury, Minnesota |
| Authorized Official Name and Position | Lisa Nippooldt-baca (NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6512830639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Minds 1937 Woodlane Dr Ste 101 Woodbury MN 55125-4043 Ph: (651) 764-8480 | Midwest Minds 1937 Woodlane Dr Ste 101 Woodbury MN 55125-4043 Ph: (651) 764-8480 |
| NPI Number | 1376384370 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376384370 | NPI | - | NPPES |
| 1356698294 | Medicaid | MN | |
| 1467712182 | Medicaid | MN | |
| 1568606077 | Medicaid | MN |
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