Organization
MENTALFITNESSCONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL JEAN BACKLUND MA, LADC, LPCC (OWNER)
(612) 478-8040
Entity
Organization
Contact information
Practice address
1512 S TIMBER RDG, FRIDLEY, MN 55432-4742
(612) 478-8040
Mailing address
1512 S TIMBER RDG, FRIDLEY, MN 55432-4742
(612) 478-8040
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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