Provider Demographics
NPI:1629940846
Name:GRACE MINDED THERAPY
Entity type:Organization
Organization Name:GRACE MINDED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PLUMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:320-431-6462
Mailing Address - Street 1:17 CEDAR ST W
Mailing Address - Street 2:
Mailing Address - City:MOTLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56466-2493
Mailing Address - Country:US
Mailing Address - Phone:320-431-6462
Mailing Address - Fax:855-595-1058
Practice Address - Street 1:17 CEDAR ST W
Practice Address - Street 2:
Practice Address - City:MOTLEY
Practice Address - State:MN
Practice Address - Zip Code:56466-2493
Practice Address - Country:US
Practice Address - Phone:320-431-6462
Practice Address - Fax:855-595-1058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty