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Momenta Mental Health
Adolescent and Children Mental Health Clinic/Center in White Bear Lake, Minnesota
NPI 1215692785

Momenta Mental Health is an Adolescent and Children Mental Health Clinic/Center based in Oakdale, MN and is specialized in Adolescent and Children Mental Health. Momenta Mental Health practices in White Bear Lake, MN. The NPI Number for Momenta Mental Health is 1215692785 and holds a License No. (Minnesota).

The current practice location address for Momenta Mental Health is 2179 4Th St Ste 2F, White Bear Lake, MN and can be reached out via phone at 701-426-8833.

Location: 2179 4Th St Ste 2F, White Bear Lake, MN, 55128-5859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215692785
Provider Name
Momenta Mental Health
Credential
Provider Entity Type
Organization
Address
2179 4Th St Ste 2F, White Bear Lake, MN, 55128-5859
Phone Number
701-426-8833
Fax Number
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053785691 05 MN
institution
Provider Business Practice Location Address Details
Address
2179 4Th St Ste 2F
City
White Bear Lake
State
Minnesota
Zip
55110-3041
Phone Number
701-426-8833
Fax Number
person
Provider Business Mailing Address Details
Address
2179 4Th St Ste 2F
City
White Bear Lake
State
Minnesota
Zip
55110-3041
Phone Number
701-426-8833
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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