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Organization

HEALING CIRCLE PSYCHIATRIC SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT ALLICK MD (CLINICAL DIRECTOR)
(701) 550-0193
Entity
Organization

Contact information

Practice address
3220 18TH ST S STE 7, FARGO, ND 58104-6564
(701) 550-0193
Mailing address
3220 18TH ST S STE 7, FARGO, ND 58104-6564
(701) 550-0193

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
Primary
374U00000X
Home Health Aide

Other

Enumeration date
12/14/2022
Last updated
01/26/2023
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