# BOLD NORTH PSYCHOTHERAPY, PLLC

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

## Provider details

- **NPI number:** 1861105728
- **Authorized official:** MRS. RACHEL HERR MA, LPCC (CEO)
- **Authorized official phone:** (612) 369-0769

## Contact information

- **Practice address:** 4313 UPTON AVE S \# 5, MINNEAPOLIS, MN 55410-1556
- **Practice address phone:** (612) 524-9480
- **Mailing address:** 4313 UPTON AVE S \# 5, MINNEAPOLIS, MN 55410-1556
- **Mailing address phone:** (612) 524-9480

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2023
- **Last updated:** 01/05/2023