GRANDER LIVING LLC NPI 1023511714

NPI Information

  • NPI: 1023511714
  • Provider Name: GRANDER LIVING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 7924 VICTORIA DR STE 201C
    VICTORIA, MN
    ZIP 55386
  • Phone: (952) 220-9283

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NPI Details

GRANDER LIVING LLC is a mental health (including community mental health center) clinic center in Victoria, MN. GRANDER LIVING LLC NPI is 1023511714. The provider is registered as an organization entity type.

The provider's business location address is:

7924 VICTORIA DR STE 201C
VICTORIA, MN
ZIP 55386-801
Phone: (952) 220-9283

The provider's authorized official is Renee E Carlson .
The authorized official title is Owner, Mental Health Counselor and has the following contact phone number (952) 220-9283.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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