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General NPI Number Information
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NPI Number | 1023972791
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Entity Type | Organization
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Legal Business Name | MANIFEST MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1824 MARIE LN
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City | NORTH MANKATO
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State | MN
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Zip | 56003-3412
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Country | US
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Telephone | 507-399-1855
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Fax | 507-399-1855
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Provider Business Mailing Address
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Address Line | 1824 MARIE LN
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City | NORTH MANKATO
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State | MN
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Zip | 56003-3412
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Country | US
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Telephone | 507-399-1855
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Fax | 507-399-1855
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Authorized Official
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Title or Position | OWNER/LMFT
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Name | MS. SARA MICHELLE MENNEN
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Credential | MS, LMFT
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Telephone | 507-399-1855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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