| Enriched Living Llc | |
|
301 County Road E2 W New Brighton MN 55112-6859 | |
| (651) 505-6766 | |
| (651) 846-5633 |
| Full Name | Enriched Living Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 County Road E2 W, New Brighton, Minnesota |
| Authorized Official Name and Position | Tryan Johnson (OWNER) |
| Authorized Official Contact | 6129302265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enriched Living Llc 301 County Road E2 W New Brighton MN 55112-6859 Ph: (651) 505-6761 | Enriched Living Llc 301 County Road E2 W New Brighton MN 55112-6859 Ph: (651) 505-6766 |
| NPI Number | 1780103929 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 03/20/2026 |
| Certification Date | 03/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780103929 | NPI | - | NPPES |
| 1086810 | Medicaid | MN |
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