Organization
MINDFUL RESILIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN FRYE LPCC (OWNER)
(218) 390-4329
Entity
Organization
Contact information
Practice address
820 LILAC DR N STE 140, GOLDEN VALLEY, MN 55422-4791
(763) 588-7535
(844) 837-0968
Mailing address
108 NATCHEZ AVE S, GOLDEN VALLEY, MN 55416-3304
(218) 390-4329
(844) 837-0968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063734663
ENTITY TYPE 1 NPI
—
Enumeration date
10/28/2021
Last updated
10/28/2021
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