Organization
MINDFUL MOMENTS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI SHETKA (PRESIDENT)
(612) 518-2671
Entity
Organization
Contact information
Practice address
1311 HISTORY CT NW, NEW PRAGUE, MN 56071-2457
(612) 518-2671
Mailing address
1311 HISTORY CT NW, NEW PRAGUE, MN 56071-2457
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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