# NORTHSTAR WELLNESS LLC

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

## Provider details

- **NPI number:** 1578316162
- **Authorized official:** ELISABETH GLIDDON LMFT (OWNER)
- **Authorized official phone:** (612) 990-2383

## Contact information

- **Practice address:** 425 10TH ST NE STE 1, MILACA, MN 56353-1827
- **Practice address phone:** (612) 919-5091
- **Mailing address:** 425 10TH ST NE, MILACA, MN 56353-4674
- **Mailing address phone:** (612) 919-5091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2024
- **Last updated:** 06/08/2026