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General NPI Number Information
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NPI Number | 1194654525
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Entity Type | Organization
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Legal Business Name | NOURISHED MIND COUNSELING PLLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1675 CENTER AVE W STE B
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City | DILWORTH
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State | MN
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Zip | 56529-1346
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Country | US
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Telephone | 701-238-4931
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 CENTER AVE W STE B
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City | DILWORTH
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State | MN
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Zip | 56529-1346
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KELSI HOMAN
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Credential | LPCC
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Telephone | 701-238-4931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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