Organization
ESSENTIAL MIND HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE GBADEHAN (OWNER)
(612) 305-8045
Entity
Organization
Contact information
Practice address
5775 WAYZATA BLVD STE 700-3014, SAINT LOUIS PARK, MN 55416-1222
(612) 305-8045
Mailing address
5775 WAYZATA BLVD STE 700-3014, SAINT LOUIS PARK, MN 55416-1222
(612) 305-8045
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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