# AFIYA SPIRITUAL LIFE CENTER, LLC

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

## Provider details

- **NPI number:** 1962831107
- **Authorized official:** DARA CEASER MSW, LICSW (SOCIAL WORKER)
- **Authorized official phone:** (651) 260-5419

## Contact information

- **Practice address:** 6009 WAYZATA BLVD, SUITE 114, ST LOUIS PARK, MN 55416-1223
- **Practice address phone:** (651) 260-5419
- **Mailing address:** 6009 WAYZATA BLVD, SUITE 114, ST LOUIS PARK, MN 55416-1223
- **Mailing address phone:** (651) 260-5419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 7784 | MN | Yes |

## Other

- **Enumeration date:** 11/07/2013
- **Last updated:** 11/07/2013