Blue Behavioral Therapy | |
10800 Lyndale Ave S Ste 250 Bloomington MN 55420-5690 | |
(614) 805-1982 | |
Not Available |
Full Name | Blue Behavioral Therapy |
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Speciality | Community/behavioral Health |
Location | 10800 Lyndale Ave S Ste 250, Bloomington, Minnesota |
Authorized Official Name and Position | Fayrus Abdirahman Duale (PRESIDENT) |
Authorized Official Contact | 6148051982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Behavioral Therapy 10800 Lyndale Ave S Ste 250 Bloomington MN 55420-5690 Ph: (614) 805-1982 | Blue Behavioral Therapy 10800 Lyndale Ave S Ste 250 Bloomington MN 55420-5690 Ph: (614) 805-1982 |
NPI Number | 1598363673 |
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Provider Enumeration Date | 10/12/2020 |
Last Update Date | 09/14/2022 |
Certification Date | 09/14/2022 |
Identifier | Type | State | Issuer |
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1598363673 | NPI | - | NPPES |
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