Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Central Behavioral Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1194421255

East Central Behavioral Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Mora, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

841 Forest Ave E Ste 210
Mora, MN 55051-1627
Phone: (320) 244-2451
Fax: (320) 238-7497
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1194421255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremiah Randall — Owner · (320) 223-0467
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateJanuary 30, 2023
Mailing addressPo Box 202, Ogilvie, MN 56358-0202

Other providers in Mora