Provider Demographics
NPI:1043968472
Name:TRUE NORTH PSYCHIATRY LLC
Entity Type:Organization
Organization Name:TRUE NORTH PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC-MENTAL HEALTH NP
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RENGO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:218-310-2349
Mailing Address - Street 1:7302 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55810-1314
Mailing Address - Country:US
Mailing Address - Phone:218-310-2349
Mailing Address - Fax:
Practice Address - Street 1:7302 CLAY ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55810
Practice Address - Country:US
Practice Address - Phone:218-384-1714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)