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

Mind Body Mirror LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1922897917

Mind Body Mirror LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Otsego, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

9000 Quantrelle Ave NE
Otsego, MN 55330-1022
Phone: (219) 595-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1922897917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Anderson — Owner · (219) 595-2121
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address8808 373rd Ave Nw, Princeton, MN 55371-5512

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