Organization
MIND BODY MIRROR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MICHELLE ANDERSON (OWNER)
(219) 595-2121
Entity
Organization
Contact information
Practice address
9000 QUANTRELLE AVE NE, OTSEGO, MN 55330-1022
(219) 595-2121
Mailing address
8808 373RD AVE NW, PRINCETON, MN 55371-5512
(651) 210-4020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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