Organization
BECOMING BEHAVIORAL HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA EASON APN, PMHNP-BC (PRESIDENT)
(708) 441-9240
Entity
Organization
Contact information
Practice address
7900 INTERNATIONAL DR STE 300, BLOOMINGTON, MN 55425-2562
(708) 441-9240
Mailing address
7900 INTERNATIONAL DR STE 300, BLOOMINGTON, MN 55425-2562
(708) 441-9240
(866) 351-1969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277000548
APRN LICENSE
IL
01
—
7401
APRN LICENSE
MN
01
—
F4025561
APRN LICENSE
NY
Enumeration date
09/15/2020
Last updated
12/28/2022
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