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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHEAST BEHAVIORAL HEALTH CLINIC
NPI 1760396576
Clinic/Center - Community Health in Fargo, ND

Active since September 29, 2026
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southeast Behavioral Health Clinic NPPES

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

SOUTHEAST BEHAVIORAL HEALTH CLINIC (NPI 1760396576) is a healthcare organization registered as a community health in Fargo, North Dakota and active in the NPI registry since September 2026. The organization lists Lucy Olson, Claims And Client Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1760396576
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHEAST BEHAVIORAL HEALTH CLINIC
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Phone(701) 298-4500
Fax(701) 298-4400
Organization SubpartNo
Authorized OfficialLucy OlsonClaims And Client Accounts Manager · (701) 328-8580
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1760396576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
2624 9TH AVE S, Fargo, ND 58103
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Other Providers at the Same Location NPPES 20

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

JENNY WEST
Specialist
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
SHAYLA ZASTE TCM
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 595-4861
DETON HART
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
VALENTINA B ASIEDU MPH, CHES
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4959
MS. SARA L NICOLI M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
DALE A CARRIER LPCC
Counselor
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
JENNIFER LEONE MULLEN LSW
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
TRACY DIEDRICH
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500

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 Southeast Behavioral Health Clinic's NPI number?

The NPI number for Southeast Behavioral Health Clinic is 1760396576. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Southeast Behavioral Health Clinic located?

Southeast Behavioral Health Clinic is located at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is Southeast Behavioral Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Southeast Behavioral Health Clinic was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.