# MINDFUL RESILIENCE LLC

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

## Provider details

- **NPI number:** 1528722170
- **Authorized official:** VICTORIA LYNN FRYE LPCC (OWNER)
- **Authorized official phone:** (218) 390-4329

## Contact information

- **Practice address:** 820 LILAC DR N STE 140, GOLDEN VALLEY, MN 55422-4791
- **Practice address phone:** (763) 588-7535
- **Practice address fax:** (844) 837-0968
- **Mailing address:** 108 NATCHEZ AVE S, GOLDEN VALLEY, MN 55416-3304
- **Mailing address phone:** (218) 390-4329
- **Mailing address fax:** (844) 837-0968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2021
- **Last updated:** 10/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063734663 | ENTITY TYPE 1 NPI | — |