| Daryeel Therapy Llc | |
|
8030 Old Cedar Ave S Ste 232 Bloomington MN 55425-1215 | |
| (651) 367-4332 | |
| Not Available |
| Full Name | Daryeel Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8030 Old Cedar Ave S Ste 232, Bloomington, Minnesota |
| Authorized Official Name and Position | Fathi Abdullahi Kofiro (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6513674332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daryeel Therapy Llc 9844 Dellridge Rd Bloomington MN 55425-2616 Ph: (651) 367-4332 | Daryeel Therapy Llc 8030 Old Cedar Ave S Ste 232 Bloomington MN 55425-1215 Ph: (651) 367-4332 |
| NPI Number | 1891523445 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891523445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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