NPI 1013345164
Mind.Body.Self., INC.
Practice location
- Address
- 4749 Chicago Ave STE 2b, Minneapolis, MN 55407-3561
- Phone
- (612) 710-6107
Authorised official
- Name
- Kara Merrill
- Title
- Clinical Social Worker
- Phone
- (612) 710-6107
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013345164
- Entity type
- Organization
- NPI issued
- 29 Oct 2013
- Record last updated
- 29 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.