Empowered Behavioral And Clinical Services LLC
Clinic/Center, Adolescent and Children Mental Health in Golden Valley, MN. Organization (NPI-2).
Details
- NPI
- 1801503271
- Entity type
- Organization (NPI-2)
- Legal business name
- Empowered Behavioral And Clinical Services LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2022
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
1710 Douglas Dr N Ste 225sGolden Valley, MN 55422-4365
Phone 734-337-0959
Mailing address
1710 Douglas Dr N Ste 225sGolden Valley, MN 55422-4365
Phone 734-337-0959
Authorized official
Rukiya Hassan
Owner
7343370959
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.
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All 6 Adolescent and Children Mental Health Clinic/Center providers in Golden Valley · All 1,377 providers in Golden Valley
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