# MYND INTEGRATED LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932847969
- **Authorized official:** DR. ERIN RACHEL HAGEN PH.D. (OWNER/MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (701) 205-1466

## Contact information

- **Practice address:** 300 NP AVE N STE 210, FARGO, ND 58102-4871
- **Practice address phone:** (701) 205-1466
- **Mailing address:** 5704 3RD ST N, MOORHEAD, MN 56560-6555
- **Mailing address phone:** (701) 220-8714

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2022
- **Last updated:** 05/20/2022