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Organization

TOPAZ MENTAL HEALTH SERVICES, PLLC

Active
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Organization

TOPAZ MENTAL HEALTH SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN KORMAN LICSW (OWNER/CLINICIAN)
(701) 371-8915
Entity
Organization

Contact information

Practice address
3523 45TH ST S, FARGO, ND 58104-8962
(701) 347-1374
(701) 899-5965
Mailing address
2525 9TH ST S, FARGO, ND 58103-5707
(701) 371-8915
(701) 899-5965

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1474964
ND
01
3159
STATE LICENSE
ND
01
8166
STATE LICENSE
MN
Enumeration date
05/21/2025
Last updated
08/28/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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