| Mindfully Healing Inc. | |
|
4154 Shoreline Dr Ste 202 Spring Park MN 55384-5606 | |
| (952) 491-9450 | |
| (952) 491-9460 |
| Full Name | Mindfully Healing Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4154 Shoreline Dr Ste 202, Spring Park, Minnesota |
| Authorized Official Name and Position | Mitchell Lee Olson (OWNER) |
| Authorized Official Contact | 6125629880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Healing Inc. 4154 Shoreline Dr Ste 202 Spring Park MN 55384-5606 Ph: (952) 491-9450 | Mindfully Healing Inc. 4154 Shoreline Dr Ste 202 Spring Park MN 55384-5606 Ph: (952) 491-9450 |
| NPI Number | 1235757600 |
|---|---|
| Provider Enumeration Date | 07/11/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235757600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Crossroads Christian Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4165 Shoreline Dr, Suite 15, Spring Park, MN 55384 Phone: 612-747-7224 |