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Organization
PSYCH 180 PLLC
Active
Organization
PSYCH 180 PLLC
Active
Other names
Psych 180
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M CHEVALIER PMHNP-BC (OWNER)
(701) 690-2360
Entity
Organization
Contact information
Practice address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 690-2360
(701) 291-4747
Mailing address
30 7TH ST W, DICKINSON, ND 58601-4335
(701) 690-2360
(701) 291-4747
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/28/2024
Last updated
07/28/2026
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