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Organization
ONEFAMILY THERAPY & WELLNESS CENTER LLC
Active
Organization
ONEFAMILY THERAPY & WELLNESS CENTER LLC
Active
Other names
OneFamily Therapy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ILYAS A ABDIKADIR LPCC (OWNER)
(612) 615-6848
Entity
Organization
Contact information
Practice address
1751 COUNTY ROAD B W STE 101, ROSEVILLE, MN 55113-4037
(612) 236-4686
(763) 201-7979
Mailing address
1751 COUNTY ROAD B W STE 101, ROSEVILLE, MN 55113-4037
(612) 236-4686
(763) 201-7979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2022
Last updated
04/05/2023
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