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PREMIERE MENTAL HEALTH LLC
NPI 1023832938
Clinic/Center in Saint Paul, MN

Active since November 08, 2024
360 SHERMAN ST STE 290, SAINT PAUL, MN 55102(763) 913-8125 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premiere Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERE MENTAL HEALTH LLC (NPI 1023832938) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since November 2024. The organization lists Princess Kou Gehyigon-wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1023832938
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMIERE MENTAL HEALTH LLC
Location Address360 SHERMAN ST STE 290Saint Paul, MN 55102-2564
Mailing Address360 Sherman St Ste 290Saint Paul, MN 55102-2564 · (763) 913-8125
Phone(763) 913-8125
Organization SubpartNo
Authorized OfficialPrincess Kou Gehyigon-wallaceOwner · (763) 913-8125
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1023832938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
360 SHERMAN ST STE 290, Saint Paul, MN 55102
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RABIA ABDI IBRAHIM
Behavior Technician
360 SHERMAN ST STE 290
SAINT PAUL, MN 55102
Ramsey County (651) 890-6445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiere Mental Health LLC's NPI number?

The NPI number for Premiere Mental Health LLC is 1023832938. It was assigned to this organization in the NPPES registry on November 8, 2024.

Where is Premiere Mental Health LLC located?

Premiere Mental Health LLC is located at 360 Sherman St Ste 290, Saint Paul, MN 55102. The listed phone number is (763) 913-8125.

What is Premiere Mental Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Premiere Mental Health LLC was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.