Provider Demographics
NPI:1518627553
Name:TOFTE PSYCHIATRIC SERVICES, PLLC
Entity Type:Organization
Organization Name:TOFTE PSYCHIATRIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, APRN, CNP, PMHNP
Authorized Official - Phone:320-435-6011
Mailing Address - Street 1:1789 411TH AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEVIDEO
Mailing Address - State:MN
Mailing Address - Zip Code:56265-4420
Mailing Address - Country:US
Mailing Address - Phone:320-435-6011
Mailing Address - Fax:
Practice Address - Street 1:1789 411TH AVE
Practice Address - Street 2:
Practice Address - City:MONTEVIDEO
Practice Address - State:MN
Practice Address - Zip Code:56265-4420
Practice Address - Country:US
Practice Address - Phone:320-435-6011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health