Mindful You Behavioral Health Pllc
NPI #1568254811 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1568254811
- Entity Type
- Organization
- Organization Name
- Mindful You Behavioral Health Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 21, 2025
- Last Updated
- May 21, 2025
Practice Location
- Address
- 1219 11TH AVE SW APT 3
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-1397
- Phone
- (612) 227-5249
Authorized Official
- Name
- DR. BRUCE CLARK, PHD
- Title
- PSYCHOLOGIST
- Phone
- (612) 227-5249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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