Organization
GREY MATTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDI L SHIMEK MA, LPCC (OWNER)
(612) 702-2167
Entity
Organization
Contact information
Practice address
613 NW 1ST AVE UNIT 104B, GRAND RAPIDS, MN 55744-2767
(612) 702-2167
Mailing address
613 NW 1ST AVE UNIT 104B, GRAND RAPIDS, MN 55744-2767
(612) 702-2167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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