Healthcare Provider Details

I. General information

NPI: 1124838156
Provider Name (Legal Business Name): PRIORITY MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 1ST ST S STE 2B
WILLMAR MN
56201-4248
US

IV. Provider business mailing address

401 N 2ND ST UNIT 215
MINNEAPOLIS MN
55401-1582
US

V. Phone/Fax

Practice location:
  • Phone: 612-643-0411
  • Fax: 612-484-5957
Mailing address:
  • Phone: 612-219-8538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELLEN HONSA
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSYD, LP
Phone: 612-643-0411