Wisdom Psychiatric Care and Medication Management LLC
Wisdom Psychiatric Care and Medication Management LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Mounds View, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2704 Mounds View Blvd Ste 12Mounds View, MN 55112
Phone: (320) 232-0647
Fax: (567) 205-3614
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1255925962 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melodie Kabanuk Dohm — Owner/Provider · (320) 232-0647 |
| NPI enumerated | February 23, 2021 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 8628 Hastings St Ne, Blaine, MN 55449-4252 |