WOODHAVEN WELLNESS LLC
NPI 1124639190
Clinic/Center - Mental Health (Including Community Mental Health Center) in Buffalo, MN

Active since August 13, 2020
30 1ST AVE NE, BUFFALO, MN 55313(763) 478-7395 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Woodhaven Wellness Llc NPPES

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

WOODHAVEN WELLNESS LLC (NPI 1124639190) is a healthcare organization registered as a mental health (including community mental health center) in Buffalo, Minnesota and active in the NPI registry since August 2020. The organization lists Mary G. Mattison-wynn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124639190
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWOODHAVEN WELLNESS LLC
Location Address30 1ST AVE NEBuffalo, MN 55313-1515
Mailing Address3000 Carriage DrHamel, MN 55340-9597 · (763) 478-7395
Organization SubpartNo
Authorized OfficialMary G. Mattison-wynnCeo · (763) 478-7395
Enumeration DateAugust 13, 2020
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1124639190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
30 1ST AVE NE, Buffalo, MN 55313

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nutritionist (Nutrition, Education)
30 1ST AVE NE
BUFFALO, MN 55313
Case Management
30 1ST AVE NE
BUFFALO, MN 55313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124639190, enumerated as an "organization" on August 13, 2020.

The provider is located at 30 1ST AVE NE BUFFALO, MN 55313 and the phone number is (763) 478-7395.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.