# MINDWELL BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1508664111
- **Authorized official:** ALEX ROEDER LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (701) 361-8273

## Contact information

- **Practice address:** 3285 FIECHTNER DR S, FARGO, ND 58103-2488
- **Practice address phone:** (651) 485-9373
- **Mailing address:** 3285 FIECHTNER DR S STE B, FARGO, ND 58103-2490
- **Mailing address phone:** (701) 361-8273
- **Mailing address fax:** (701) 301-8205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 09/09/2025
