OrganizationActive
Ataraxia Mental Health Plcc
NPI 1659212140 · Mental Health Clinic/Center (Including Community Mental Health Center) · Shoreview, MN
Provider details
- NPI number
- 1659212140
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Goedken, Nurse Practitioner(651) 353-0571
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1030 County Road E W Ste 220
Shoreview, MN 55126-8153
Phone: (651) 289-7300
Fax: (651) 289-7301
Approximate (ZIP-level) locationGet directions
Mailing address
1030 County Road E W Ste 220
Shoreview, MN 55126-8153
Registry dates
- Enumerated
- 2026-04-01
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.