Provider Demographics
NPI:1063372845
Name:ADHD ALLIANCE OF MN PLLC
Entity type:Organization
Organization Name:ADHD ALLIANCE OF MN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRISACARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-424-4284
Mailing Address - Street 1:1907 WAYZATA BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-2017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1907 WAYZATA BLVD FL 3
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-2017
Practice Address - Country:US
Practice Address - Phone:209-424-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center