| Mindful Balance Therapy, Pllc | |
|
3175 Sienna Dr S Ste 101 Fargo ND 58104-8910 | |
| (701) 922-0857 | |
| Not Available |
| Full Name | Mindful Balance Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3175 Sienna Dr S Ste 101, Fargo, North Dakota |
| Authorized Official Name and Position | Tracey Klobuchar (OWNER/THERAPIST) |
| Authorized Official Contact | 7019220857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Balance Therapy, Pllc 3175 Sienna Dr S Fargo ND 58104-8910 Ph: (701) 922-0857 | Mindful Balance Therapy, Pllc 3175 Sienna Dr S Ste 101 Fargo ND 58104-8910 Ph: (701) 922-0857 |
| NPI Number | 1346935681 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346935681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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