# MIND PATH MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Path Mental Health, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740018225
- **Authorized official:** TERRA EDWARDS MSN, APRN, PMHNP-BC (OWNER, PMHNP)
- **Authorized official phone:** (701) 213-4096

## Contact information

- **Practice address:** 4200 JAMES RAY DR, GRAND FORKS, ND 58202-6090
- **Practice address phone:** (701) 213-4096
- **Mailing address:** 4200 JAMES RAY DR, GRAND FORKS, ND 58202-6090
- **Mailing address phone:** (701) 213-4096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 07/25/2024