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

Mindful River Psychotherapy PLLC

Organization Clinical Social Worker · NPI 1265101406

Mindful River Psychotherapy PLLC is a Clinical Social Worker in Fargo, North Dakota. 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

808 3rd Ave S Ste 204
Fargo, ND 58103-1865
Phone: (785) 232-7653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1265101406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Vaughn — Owner · (785) 323-7653
NPI enumeratedSeptember 10, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing address808 3rd Ave S Ste 204, Fargo, ND 58103-1865

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