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Organization

NORTHERN LIGHTS PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA SUE WOLLSCHLAGER APRN, PMHNP-BC (OWNER)
(218) 203-9215
Entity
Organization

Contact information

Practice address
201 1ST ST E STE 220, PARK RAPIDS, MN 56470-1612
(218) 203-9215
Mailing address
201 1ST ST E STE 220, PARK RAPIDS, MN 56470-1612
(218) 203-9215

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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