Serenitymind Clinic LLC
NPI #1811888407 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1811888407
- Entity Type
- Organization
- Organization Name
- Serenitymind Clinic LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 11, 2025
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 6818 91ST ST S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4184
- Phone
- (651) 237-3319
Authorized Official
- Name
- FUNSHO KING
- Title
- OWNER OF ENTITY
- Phone
- (651) 237-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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