Organization
LIFESPAN MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SYBILLA HADLEY APRN, CNP, PMHNP-BC (OWNER)
(763) 297-3633
Entity
Organization
Contact information
Practice address
305 CEDAR ST STE 102, MONTICELLO, MN 55362-8304
(763) 200-1160
(763) 645-5458
Mailing address
305 CEDAR ST STE 102, MONTICELLO, MN 55362-8304
(763) 200-1160
(763) 645-5458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
10/29/2024
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