| Northern Lights Psychiatry Llc | |
|
201 1st St E Ste 220 Park Rapids MN 56470-1612 | |
| (218) 203-9215 | |
| Not Available |
| Full Name | Northern Lights Psychiatry Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 1st St E Ste 220, Park Rapids, Minnesota |
| Authorized Official Name and Position | Amanda Sue Wollschlager (OWNER) |
| Authorized Official Contact | 2182039215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lights Psychiatry Llc 201 1st St E Ste 220 Park Rapids MN 56470-1612 Ph: (218) 203-9215 | Northern Lights Psychiatry Llc 201 1st St E Ste 220 Park Rapids MN 56470-1612 Ph: (218) 203-9215 |
| NPI Number | 1326840679 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326840679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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