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Organization
NYSTROM COUNSELING MO, PC
Active
Organization
NYSTROM COUNSELING MO, PC
Active
Other names
Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EIDEN (VP OF CORPORATE SERVICES)
(651) 379-1750
Entity
Organization
Contact information
Practice address
801 S WOODLAWN AVE STE 16, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
10/21/2025
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