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Organization

PEACEFUL MIND MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA KOSKINIEMI LICSW (THERAPIST)
(218) 731-8896
Entity
Organization

Contact information

Practice address
118 MAIN AVE N STE 203, NEW YORK MILLS, MN 56567-4405
(218) 731-8896
(855) 852-5355
Mailing address
PO BOX 341, NEW YORK MILLS, MN 56567-0341
(218) 731-8896
(855) 852-5355

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/29/2019
Last updated
04/11/2022
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