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Organization
SERENITY MINDS
Active
Organization
SERENITY MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBSA LOLO (OWNER)
(651) 363-6280
Entity
Organization
Contact information
Practice address
572 JULIANNE AVE N, LAKE ELMO, MN 55042-4104
(651) 363-6280
Mailing address
572 JULIANNE AVE N, LAKE ELMO, MN 55042-4104
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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