Wise Body Wise Mind, LLC

NPI #1164130142 in North Branch, Minnesota

Provider Information

NPI Number: 1164130142
Entity Type: Organization
Organization Name: Wise Body Wise Mind, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 9, 2022
Last Updated: Nov 9, 2022

Practice Location

Address: 38868 12TH AVE # 1032
City: North Branch
State: Minnesota
ZIP Code: 55056-6658
Phone: (612) 707-1504

Authorized Official

Name: MARY ROSENER, MS, LMFT
Title: MARRIAGE & FAMILY THERAPIST
Phone: (612) 707-1504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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