Healthcare Provider Details
I. General information
NPI: 1073461950
Provider Name (Legal Business Name): ALLIED MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2717 W 9TH ST
DULUTH MN
55806-1154
US
IV. Provider business mailing address
2717 W 9TH ST
DULUTH MN
55806-1154
US
V. Phone/Fax
- Phone: 218-461-0418
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JORYN
BOWEN
Title or Position: OWNER
Credential: MA, LPCC
Phone: 218-343-4121