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

Serenitymind Clinic LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1811888407

Serenitymind Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner in Cottage Grove, 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

6818 91st St S
Cottage Grove, MN 55016-4184
Phone: (651) 237-3319
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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 number1811888407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Funsho King — Owner Of Entity · (651) 237-3319
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address6818 91st St S, Cottage Grove, MN 55016-4184

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