# THE MENTAL HEALTH COLLECTIVE

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

## Provider details

- **NPI number:** 1932126794
- **Authorized official:** DR. LAURENCE ALAN KIVENS PSY.D., L.P. (CO-DIRECTOR)
- **Authorized official phone:** (612) 822-8227

## Contact information

- **Practice address:** 3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
- **Practice address phone:** (612) 822-8227
- **Practice address fax:** (612) 825-4204
- **Mailing address:** 3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
- **Mailing address phone:** (612) 822-8227
- **Mailing address fax:** (612) 825-4204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020