MINDY MANOCK LAC
NPI 1780867911
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since December 11, 2007
510 4TH ST S, FARGO, ND 58103(701) 476-7200(701) 476-7261 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mindy Manock Lac NPPES

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

MINDY MANOCK LAC (NPI 1780867911) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1563) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1780867911
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMINDY MANOCKCredential: LAC
Location Address510 4TH ST SFargo, ND 58103-1914
Mailing Address510 4th St SFargo, ND 58103-1914 · (701) 476-7200 · Fax (701) 476-7261
Fax(701) 476-7261
Sole ProprietorNo
Enumeration DateDecember 11, 2007
NPI 1780867911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ND · 1563
510 4TH ST S, Fargo, ND 58103

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.

Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103

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 Mindy Manock's NPI number?

The NPI number for Mindy Manock is 1780867911. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Mindy Manock located?

Mindy Manock practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.

What is Mindy Manock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mindy Manock was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.