| NPI | 1801467519 |
|---|---|
| Former Legal Business Name | SHANTE FAUSKEE, LLC |
| Doing Business As | FRONTLINE MENTAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHANTE BASANT Owner 612-524-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-03-05 |