Healthcare Provider Details

I. General information

NPI: 1144157488
Provider Name (Legal Business Name): THE HEALING CENTERED COLLABORATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 22ND AVE NW STE U2
MINOT ND
58703-0986
US

IV. Provider business mailing address

600 22ND AVE NW STE U2
MINOT ND
58703-0986
US

V. Phone/Fax

Practice location:
  • Phone: 701-712-1292
  • Fax: 701-299-5883
Mailing address:
  • Phone: 701-712-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXIS JEHAHN BROWN
Title or Position: OWNER
Credential: LCSW
Phone: 617-447-8974