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

Midwest Mental Health Clinic PLLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1710600028

Midwest Mental Health Clinic PLLC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
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

121 University Dr N
Fargo, ND 58102-4631
Phone: (701) 478-5808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 19th St N, Fargo, ND 58102-4145 — (701) 478-5808

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1710600028
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMidwest Mental Health Clinic PLLC
Authorized official Jacqualine Gervais — President/Owner · (701) 371-9769
Other names Midwest Mental Health; Midwest Mental Health
NPI enumeratedSeptember 21, 2022
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address1122 1st Ave N, Fargo, ND 58102-4604

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