ST. SOPHIE'S LLC NPI 1336443654

NPI Information

NPI: 1336443654
Provider Name: ST. SOPHIE'S, LLC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 3201 33RD ST S
FARGO, ND
ZIP 58104
Phone: (701) 365-4488

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NPI Details

ST. SOPHIE'S, LLC is an adolescent and children mental health clinic center in Fargo, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ST. SOPHIE'S, LLC NPI is 1336443654. The provider is registered as an organization entity type.

The provider's business location address is:

3201 33RD ST S
FARGO, ND
ZIP 58104-823
Phone: (701) 365-4488
Fax: (701) 365-0727

The provider's authorized official is Tracey Jean Frei .
The authorized official title is Office Manager and has the following contact phone number (701) 365-4467.

The enumeration date for this NPI number is 12/29/2010 and was last updated on 4/30/2014.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	7174	NORTH DAKOTA	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	7174	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N716149	MEDICARE PIN	NORTH DAKOTA
2	15685	MEDICAID	NORTH DAKOTA

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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