|
| |
|
2355 Highway 36 W Ste 419 Roseville MN 55113-3902 | |
| (651) 276-1535 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2355 Highway 36 W Ste 419, Roseville, Minnesota |
| Authorized Official Name and Position | Ali J Shireh (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9526490229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1821 University Ave W Ste 131 Saint Paul MN 55104-2849 Ph: (952) 649-0229 | 2355 Highway 36 W Ste 419 Roseville MN 55113-3902 Ph: (651) 276-1535 |
| NPI Number | 1821725177 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821725177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Joshua's Journey,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Highway 36 W, Suite #630, Roseville, MN 55113 Phone: 612-819-8903 | |
Creative Thinkers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 Rice St Ste 76, Roseville, MN 55113 Phone: 617-206-0332 | |
Soaringhigh Aba Mn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 845-300-2769 | |
Axis Alternatives Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 Rice St Ste 112, Roseville, MN 55113 Phone: 651-357-1100 Fax: 651-357-1100 | |
Nice Healthcare Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2786 Fairview Ave N, Roseville, MN 55113 Phone: 651-334-0720 | |
Path2possibilities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Old Highway 8 Apt 213, Roseville, MN 55113 Phone: 952-769-3159 |