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Organization
IMAGINE NATION LLC
Active
Organization
IMAGINE NATION LLC
Active
Parent organization
IMAGINE NATION LLC
Other names
Mindology Mental Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMAGINE NATION LLC
Authorized official
MARC VAN HERR (OWNER)
(320) 266-8082
Entity
Organization
Contact information
Practice address
3333 W DIVISION ST STE 100, SAINT CLOUD, MN 56301-4555
(320) 266-8082
Mailing address
417 5TH AVE N, SARTELL, MN 56377-1653
(320) 266-8082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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