MYND INTEGRATED LLC NPI 1932847969

NPI Information

  • NPI: 1932847969
  • Provider Name: MYND INTEGRATED LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 300 NP AVE N STE 210
    FARGO, ND
    ZIP 58102
  • Phone: (701) 205-1466

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NPI Details

MYND INTEGRATED LLC is a mental health counselor in Fargo, ND. MYND INTEGRATED LLC NPI is 1932847969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 NP AVE N STE 210
FARGO, ND
ZIP 58102-871
Phone: (701) 205-1466

The provider's authorized official is Erin Rachel Hagen .
The authorized official title is Owner/mental Health Counselor and has the following contact phone number (701) 205-1466.

The enumeration date for this NPI number is 5/20/2022 and was last updated on 5/20/2022.

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
1101YM0800XCounselorMental HealthYes

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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