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

Gatherwell, PLLC

Organization Clinic/Center · NPI 1649855479

Gatherwell, PLLC is a Clinic/Center in Ham Lake, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17565 Central Ave NE Ste 220
Ham Lake, MN 55304-2230
Phone: (612) 636-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1649855479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Brown — Owner · (612) 806-1546
NPI enumeratedMarch 12, 2021
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address17565 Central Ave Ne Ste 200, Ham Lake, MN 55304-2230

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