Mind Sparks L. L. C. | |
19344 136th Ave N Rogers MN 55374-4848 | |
(612) 281-6238 | |
Not Available |
Full Name | Mind Sparks L. L. C. |
---|---|
Speciality | Community/behavioral Health |
Location | 19344 136th Ave N, Rogers, Minnesota |
Authorized Official Name and Position | Muna Mohamed Jedal (AUTHORIZED AGENT) |
Authorized Official Contact | 6122816238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind Sparks L. L. C. 19344 136th Ave N Rogers MN 55374-4848 Ph: (612) 281-6238 | Mind Sparks L. L. C. 19344 136th Ave N Rogers MN 55374-4848 Ph: (612) 281-6238 |
NPI Number | 1942198734 |
---|---|
Provider Enumeration Date | 06/27/2025 |
Last Update Date | 06/27/2025 |
Certification Date | 06/27/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942198734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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