Organization · Type 2 NPI
Providence Psychiatry Services, Ltd.
Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Rapids, MN
NPI number
1871942953
Active
Practice location
502 SE 10th St
Grand Rapids, MN 55744-3921
Mailing address
12860 Mud Lake Rd NE, Box 631
Deer River, MN 56636-2174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | CNP2221 (MN) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1871942953
Providence Psychiatry Services, Ltd.'s National Provider Identifier is 1871942953, issued on Jun 8, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Grand Rapids, MN. The record was last updated on Dec 10, 2025.