# MN MENTAL HEALTH SPECIALISTS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356059687
- **Authorized official:** MELISSA LYNN MARTINI-TISCHER MA LPCC (MENTAL HEALTH PROFESSIONAL)
- **Authorized official phone:** (612) 296-8901

## Contact information

- **Practice address:** 303 CREDIT UNION DR STE 12A, ISANTI, MN 55040-4010
- **Practice address phone:** (612) 296-8901
- **Mailing address:** 6971 330TH LN NW, PRINCETON, MN 55371-4930
- **Mailing address phone:** (612) 296-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 09/13/2023