Organization · NPI-2

Integrated Counseling Health Services INC

Clinic/Center · Fridley, MN

NPI number1629789565
StatusActive
Last updated in NPPESDec 12, 2022

Details

NPI
1629789565
Entity type
Organization (NPI-2)
Legal business name
Integrated Counseling Health Services INC
Organization subpart
No
Enumeration date
Dec 12, 2022
Certification date
Dec 12, 2022
Last updated
Dec 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1250 Moore Lake Dr E Ste 212
Fridley, MN 55432-5136

Phone 612-479-2085

Mailing address

1250 Moore Lake Dr E Ste 212
Fridley, MN 55432-5136

Authorized official

Ayanle Abdihoosh
Co-Owner
6124792085

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Fridley, MN