| Mindful You Behavioral Health Pllc | |
|
1219 11th Ave Sw Apt 3 Forest Lake MN 55025-1397 | |
| (612) 227-5249 | |
| Not Available |
| Full Name | Mindful You Behavioral Health Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1219 11th Ave Sw Apt 3, Forest Lake, Minnesota |
| Authorized Official Name and Position | Bruce Clark (PSYCHOLOGIST) |
| Authorized Official Contact | 6122275249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful You Behavioral Health Pllc 1219 11th Ave Sw Apt 3 Forest Lake MN 55025-1397 Ph: (612) 227-5249 | Mindful You Behavioral Health Pllc 1219 11th Ave Sw Apt 3 Forest Lake MN 55025-1397 Ph: (612) 227-5249 |
| NPI Number | 1568254811 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568254811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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