| Afiya Spiritual Life Center, Llc | |
|
6009 Wayzata Blvd Suite 114 St Louis Park MN 55416-1223 | |
| (651) 260-5419 | |
| Not Available |
| Full Name | Afiya Spiritual Life Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6009 Wayzata Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Dara Ceaser (SOCIAL WORKER) |
| Authorized Official Contact | 6512605419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afiya Spiritual Life Center, Llc 6009 Wayzata Blvd Suite 114 St Louis Park MN 55416-1223 Ph: (651) 260-5419 | Afiya Spiritual Life Center, Llc 6009 Wayzata Blvd Suite 114 St Louis Park MN 55416-1223 Ph: (651) 260-5419 |
| NPI Number | 1962831107 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962831107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7784 (Minnesota) | Primary |
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