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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