| Mentalfitnessconnection Llc | |
|
1512 S Timber Rdg Fridley MN 55432-4742 | |
| (612) 478-8040 | |
| Not Available |
| Full Name | Mentalfitnessconnection Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1512 S Timber Rdg, Fridley, Minnesota |
| Authorized Official Name and Position | Rachel Jean Backlund (OWNER) |
| Authorized Official Contact | 6124788040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentalfitnessconnection Llc 1512 S Timber Rdg Fridley MN 55432-4742 Ph: (612) 478-8040 | Mentalfitnessconnection Llc 1512 S Timber Rdg Fridley MN 55432-4742 Ph: (612) 478-8040 |
| NPI Number | 1285400606 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285400606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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