MEDICARE: NATURE'S GATE 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1598464182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURE'S GATE LLC

Provider Business Mailing Address
First Line	:	65 INNER DR APT N5
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3856
Country	:	US
Telephone Number	:	612-208-2290
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 METRO BLVD.
Second Line	:	SUITE 550
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-1300
Country	:	US
Telephone Number	:	612-208-2290
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA KAY HUNING
Credential	:	MA LP
Telephone Number	:	608-518-8190

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	03/15/2023

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Directions to “NATURE'S GATE LLC ” Practice Location

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