Healthcare Provider Details

I. General information

NPI: 1487572145
Provider Name (Legal Business Name): INSTRIDE MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 DIFFLEY CT APT 130
INVER GROVE MN
55077-1012
US

IV. Provider business mailing address

9800 DIFFLEY CT APT 130
INVER GROVE MN
55077-1012
US

V. Phone/Fax

Practice location:
  • Phone: 651-707-3198
  • Fax:
Mailing address:
  • Phone: 651-707-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIE LIPINSKI
Title or Position: OWNER
Credential: LPCC, LADC
Phone: 651-707-3198