MENTORING PROFESSIONALS LLC DBA OAK TREE SUPPORT SERVICES NPI 1104490184

NPI Information

  • NPI: 1104490184
  • Provider Name: MENTORING PROFESSIONALS, LLC DBA OAK TREE SUPPORT SERVICES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 303 21ST ST STE 222
    NEWPORT, MN
    ZIP 55055
  • Phone: (651) 797-2438

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NPI Details

MENTORING PROFESSIONALS, LLC DBA OAK TREE SUPPORT SERVICES is a multi-specialty clinic center in Newport, MN. MENTORING PROFESSIONALS, LLC DBA OAK TREE SUPPORT SERVICES NPI is 1104490184. The provider is registered as an organization entity type.

The provider's business location address is:

303 21ST ST STE 222
NEWPORT, MN
ZIP 55055-182
Phone: (651) 797-2438
Fax: (651) 478-7144

The provider's authorized official is Deirdre White .
The authorized official title is Ceo and has the following contact phone number (651) 491-4282.

The enumeration date for this NPI number is 5/14/2021 and was last updated on 5/14/2021.

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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesCALIFORNIANo
3251E00000XHome HealthCALIFORNIANo
4251K00000XPublic Health or WelfareCALIFORNIANo
5251S00000XCommunity/Behavioral HealthCALIFORNIANo
6253Z00000XIn Home Supportive CareCALIFORNIANo
7261QC1500XClinic/CenterCommunity HealthCALIFORNIANo
8261QE0002XClinic/CenterEmergency CareCALIFORNIANo
9261QH0100XClinic/CenterHealth ServiceCALIFORNIANo
10261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CALIFORNIANo
11261QM0850XClinic/CenterAdult Mental HealthCALIFORNIANo
12261QM1300XClinic/CenterMulti-SpecialtyCALIFORNIAYes
13261QP0904XClinic/CenterPublic Health, FederalCALIFORNIANo
14261QR0400XClinic/CenterRehabilitationCALIFORNIANo
15261QR0405XClinic/CenterRehabilitation, Substance Use DisorderCALIFORNIANo

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

NPI Synchronization or Removal

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