# HORIZON MENTAL AND REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215278601
- **Authorized official:** DR. ANISA MOHAMMED PSY D, LP (CLINICAL DIRECTOR)
- **Authorized official phone:** (612) 259-7746

## Contact information

- **Practice address:** 1527 E LAKE ST STE 120, MINNEAPOLIS, MN 55407-6701
- **Practice address phone:** (612) 259-7746
- **Practice address fax:** (612) 208-0618
- **Mailing address:** 1527 E LAKE ST STE 120, MINNEAPOLIS, MN 55407-6701
- **Mailing address phone:** (612) 259-7746
- **Mailing address fax:** (612) 208-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | LP5667 | MN | — |
| 103TC0700X | Clinical Psychologist | LP5667 | MN | — |
| 1041C0700X | Clinical Social Worker | 165 | MN | — |
| 106H00000X | Marriage & Family Therapist | 162 | MN | — |
| 225100000X | Physical Therapist | 6097 | MN | Yes |

## Other

- **Enumeration date:** 03/08/2013
- **Last updated:** 02/07/2017