Provider Demographics
NPI:1114516234
Name:AURORA MENTAL HEALTH, PLLC
Entity Type:Organization
Organization Name:AURORA MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC/LPCC
Authorized Official - Phone:701-751-1545
Mailing Address - Street 1:PO BOX 1328
Mailing Address - Street 2:
Mailing Address - City:NEW TOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58763-1328
Mailing Address - Country:US
Mailing Address - Phone:701-751-1545
Mailing Address - Fax:701-751-1635
Practice Address - Street 1:368 E. MAIN ST STE 1
Practice Address - Street 2:#1328
Practice Address - City:NEW TOWN
Practice Address - State:ND
Practice Address - Zip Code:58763-1328
Practice Address - Country:US
Practice Address - Phone:701-751-1545
Practice Address - Fax:701-751-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty