Healthcare Provider Details

I. General information

NPI: 1164357067
Provider Name (Legal Business Name): MARION WELLNESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 7TH AVE NW
HAYFIELD MN
55940-8897
US

IV. Provider business mailing address

206 7TH AVE NW
HAYFIELD MN
55940-8897
US

V. Phone/Fax

Practice location:
  • Phone: 507-259-1036
  • Fax: 507-259-1036
Mailing address:
  • Phone: 507-259-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA KAY PAPPAS
Title or Position: FOUNDER
Credential: LADC
Phone: 507-259-1036