| Blue Star Services Llc | |
|
625 12th Ave N Apt 212 Saint Cloud MN 56303-3588 | |
| (320) 217-5048 | |
| (320) 295-7862 |
| Full Name | Blue Star Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 625 12th Ave N Apt 212, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Abdigani Ahmed (OWNER) |
| Authorized Official Contact | 3202175048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Star Services Llc 625 12th Ave N Apt 212 Saint Cloud MN 56303-3588 Ph: (320) 217-5048 | Blue Star Services Llc 625 12th Ave N Apt 212 Saint Cloud MN 56303-3588 Ph: (320) 217-5048 |
| NPI Number | 1669207478 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 12/02/2025 |
| Certification Date | 12/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669207478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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