Healthcare Provider Details

I. General information

NPI: 1518627553
Provider Name (Legal Business Name): TOFTE PSYCHIATRIC SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 411TH AVE
MONTEVIDEO MN
56265-4420
US

IV. Provider business mailing address

1789 411TH AVE
MONTEVIDEO MN
56265-4420
US

V. Phone/Fax

Practice location:
  • Phone: 320-435-6011
  • Fax:
Mailing address:
  • Phone: 320-435-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAULA TOFTE
Title or Position: OWNER
Credential: RN, APRN, CNP, PMHNP
Phone: 320-435-6011