Powerful Minds Llc | |
226 1st Ave E Shakopee MN 55379-1441 | |
(952) 288-8708 | |
Not Available |
Full Name | Powerful Minds Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 226 1st Ave E, Shakopee, Minnesota |
Authorized Official Name and Position | Falastin Ali Omar (OWNER) |
Authorized Official Contact | 9522888708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Powerful Minds Llc 9301 River Rock Dr N Chanhassen MN 55317-4746 Ph: (952) 288-8708 | Powerful Minds Llc 226 1st Ave E Shakopee MN 55379-1441 Ph: (952) 288-8708 |
NPI Number | 1396510053 |
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Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Certification Date | 11/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396510053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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