Premiere Mental Health LLC

NPI #1023832938 in Saint Paul, Minnesota

Provider Information

NPI Number: 1023832938
Entity Type: Organization
Organization Name: Premiere Mental Health LLC
Primary Specialty: Clinic/Center
Enumeration Date: Nov 8, 2024
Last Updated: Nov 8, 2024

Practice Location

Address: 360 SHERMAN ST STE 290
City: Saint Paul
State: Minnesota
ZIP Code: 55102-2564
Phone: (763) 913-8125

Authorized Official

Name: PRINCESS KOU GEHYIGON-WALLACE
Title: OWNER
Phone: (763) 913-8125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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