# PSYCHENUTRITION

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

## Provider details

- **NPI number:** 1841112000
- **Authorized official:** KRISTIE LYNN HILLS LPCC (OWNER)
- **Authorized official phone:** (218) 390-8797

## Contact information

- **Practice address:** 832 TOWN ROAD 136, BAUDETTE, MN 56623-9220
- **Practice address phone:** (218) 390-8797
- **Mailing address:** 832 TOWN ROAD 136, BAUDETTE, MN 56623-9220
- **Mailing address phone:** (218) 390-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2026
- **Last updated:** 07/29/2026