=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255288742
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DIGNITY MENTAL HEALTH SOLUTIONS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2026
-----------------------------------------------------
Last Update Date | 03/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8609 LYNDALE AVE S # 201A
-----------------------------------------------------
City | BLOOMINGTON
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55420-2754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-298-1271
-----------------------------------------------------
Fax | 651-846-4633
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8701 BLAISDELL AVE S
-----------------------------------------------------
City | BLOOMINGTON
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55420-2821
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-298-1271
-----------------------------------------------------
Fax | 651-846-4633
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GERNINE PREVIL
-----------------------------------------------------
Credential | MSN,PMHNP-BC, FNP-BC
-----------------------------------------------------
Telephone | 612-298-1271
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------