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Nexus-Path Family Healing

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND

NPI 1982117602 · NPPES record last updated May 13, 2020

Key facts

NPI
1982117602
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
NEXUS-PATH FAMILY HEALING
Practice address
1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone
(701) 280-9545
NPI assigned
Nov 16, 2017
Organization subpart
Yes
Parent organization (as reported)
NEXUS-PATH FAMILY HEALING

Authorized official

Name
Karen Baukol, PHR
Title
Human Resource Director
Phone
(701) 551-6318

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 8

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

National Provider Directory

Tax ID family
Nexus-Path Family Healing (3 organizations share this tax ID)
Part of
Nexus-Path Family Healing

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356

Mailing address

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone (701) 280-9545

Other identifiers

IdentifierTypeStateIssuer
1459676MedicaidND
1472885MedicaidND

Other names

  • PATH Trauma and Stress Clinic Doing business as

Other providers in Fargo, ND

All providers in Fargo, ND · Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

Sources for this page

Verify at the official NPI Registry.