# N.I.A.M BRAIN INJURY SERVICES, LLP

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

## Provider details

- **NPI number:** 1558991406
- **Authorized official:** MS. CHRISTINE MARIE PRYOR LAC, LMFT (CO FOUNDER)
- **Authorized official phone:** (760) 662-4710

## Contact information

- **Practice address:** 1206 1ST AVE S, FARGO, ND 58103-1747
- **Practice address phone:** (760) 662-4710
- **Mailing address:** PO BOX 11286, FARGO, ND 58106-1286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2020
- **Last updated:** 01/20/2020