Healthcare Provider Details

I. General information

NPI: 1841007820
Provider Name (Legal Business Name): FINDING GROUND THERAPEUTIC WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3523 45TH ST S STE 100
FARGO ND
58104-8962
US

IV. Provider business mailing address

3523 45TH ST S STE 100
FARGO ND
58104-8962
US

V. Phone/Fax

Practice location:
  • Phone: 701-394-5313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LARISSA JANE MARSH
Title or Position: OWNER
Credential: LCSW, LICSW
Phone: 701-260-4021