Entwine II LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ENTWINE II LLC

Doing business as

Entwine II, LLC

Practice address

3505 8TH St S Ste 3
Moorhead, MN 56560-5108

Phone

(701) 532-0991

Fax

(701) 532-0428

NPI assigned

Feb 8, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Joyce Keller Salvaggio, PSY.D.

Title

Owner

Phone

(701) 720-7222

Specialties & licenses 1

Addresses

Other names 1

• Entwine II, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian D Anderson, LMSW

  • Mental Health Counselor
  • Fargo, ND
  • NPI 1831959741
  NPD (past)
• Chasity Marie Keller Anderson, LCSW

  • Social Worker
  • Fargo, ND
  • NPI 1164918082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1124725361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 17TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607050",
            "telephone_number": "701-720-7222",
            "fax_number": "701-532-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "701-532-0991",
            "fax_number": "701-532-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTWINE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KELLER SALVAGGIO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-720-7222",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Entwine II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Lynn Elliott, D.O.
• Empower Spectrum Solutions LLC
• Luke England
• Nicole England
• Hailey Mae Englehart
• Jarrod Erdmann
• Dylan Erhardt
• Shauna Erickson-Abou Zahr, M.S. LMFT
• Anika Paige Erickson
• Cassidy Erickson

• Psychologist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.