Individual
MRS. MELISSA K HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14194 COUNTY ROAD 25, BRAINERD, MN 56401-5060
(218) 454-2138
(218) 454-4435
Mailing address
14194 COUNTY ROAD 25, BRAINERD, MN 56401-5060
(218) 454-2138
(218) 454-4435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760378566
NPI
MN
Enumeration date
05/27/2025
Last updated
07/16/2025
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