Afiya Spiritual Life Center, LLC
Counselor, Mental Health in St Louis Park, MN. Organization (NPI-2).
NPI number1962831107
StatusActive
Last updated in NPPESNov 7, 2013
Details
- NPI
- 1962831107
- Entity type
- Organization (NPI-2)
- Legal business name
- Afiya Spiritual Life Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2013
- Last updated
- Nov 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 7784 | MN | Yes |
Practice location
6009 Wayzata BlvdSuite 114
St Louis Park, MN 55416-1223
Phone 651-260-5419
Mailing address
6009 Wayzata BlvdSuite 114
St Louis Park, MN 55416-1223
Phone 651-260-5419
Authorized official
Dara Ceaser
Social Worker
6512605419
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