| Northstar Therapy Services Llc | |
|
5100 Edina Industrial Blvd Ste 230 Edina MN 55439-3007 | |
| (952) 666-5880 | |
| (952) 241-1539 |
| Full Name | Northstar Therapy Services Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5100 Edina Industrial Blvd Ste 230, Edina, Minnesota |
| Authorized Official Name and Position | Abdulkadir Ali Omar (MANAGER) |
| Authorized Official Contact | 6124725645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Therapy Services Llc 5100 Edina Industrial Blvd Ste 230 Edina MN 55439-3007 Ph: (952) 666-5880 | Northstar Therapy Services Llc 5100 Edina Industrial Blvd Ste 230 Edina MN 55439-3007 Ph: (952) 666-5880 |
| NPI Number | 1518627736 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518627736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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