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NPI Code Detail

MEDICARE: THE HEALING CENTERED COLLABORATIVE LLC

MEDICARE: THE HEALING CENTERED COLLABORATIVE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1144157488
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEALING CENTERED COLLABORATIVE LLC
Provider Business Mailing Address
First Line : 3003 32ND AVE S STE 240
Second Line :
City : FARGO
State : ND
Zip : 58103-6118
Country : US
Telephone Number : 701-712-1292
Fax Number :
Provider Business Practice Location Address
First Line : 3003 32ND AVE S STE 240
Second Line :
City : FARGO
State : ND
Zip : 58103-6118
Country : US
Telephone Number : 701-712-1292
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEXIS JEHAHN BROWN
Credential : LCSW
Telephone Number : 617-447-8974
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/25/2026

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Directions to “THE HEALING CENTERED COLLABORATIVE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.