Organization
MENTORING PROFESSIONALS, LLC DBA OAK TREE SUPPORT SERVICES
Active
Organization
MENTORING PROFESSIONALS, LLC DBA OAK TREE SUPPORT SERVICES
Active
Other names
Oak Tree Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE WHITE DC/DM, 245D LICENSED (CEO)
(651) 491-4282
Entity
Organization
Contact information
Practice address
303 21ST ST STE 222, NEWPORT, MN 55055-1182
(651) 797-2438
(651) 478-7144
Mailing address
PO BOX 218, NEWPORT, MN 55055-0218
(651) 797-2438
(651) 478-7144
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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