| Sharehouse Mental Health Clinic | |
|
505 40th St S Unit A Fargo ND 58103-1184 | |
| (701) 478-8440 | |
| Not Available |
| Full Name | Sharehouse Mental Health Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 505 40th St S Unit A, Fargo, North Dakota |
| Authorized Official Name and Position | Tyrel Hegland (PRESIDENT/CEO) |
| Authorized Official Contact | 7012826561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharehouse Mental Health Clinic 4227 9th Ave S Fargo ND 58103-2018 Ph: (701) 282-6561 | Sharehouse Mental Health Clinic 505 40th St S Unit A Fargo ND 58103-1184 Ph: (701) 478-8440 |
| NPI Number | 1235412388 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235412388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1056 (North Dakota) | Primary |
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