| Mynd Integrated Llc | |
|
300 Np Ave N Ste 210 Fargo ND 58102-4871 | |
| (701) 205-1466 | |
| Not Available |
| Full Name | Mynd Integrated Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 Np Ave N Ste 210, Fargo, North Dakota |
| Authorized Official Name and Position | Erin Rachel Hagen (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7012051466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mynd Integrated Llc 5704 3rd St N Moorhead MN 56560-6555 Ph: (701) 220-8714 | Mynd Integrated Llc 300 Np Ave N Ste 210 Fargo ND 58102-4871 Ph: (701) 205-1466 |
| NPI Number | 1932847969 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932847969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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