Organization
ASPIRE WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ISMAEL (SUPERVISOR)
(612) 442-6011
Entity
Organization
Contact information
Practice address
13209 SHERBURNE AVE, SUITE 108, BECKER, MN 55308
(612) 442-6011
Mailing address
13209 SHERBURNE AVE, SUITE 108, BECKER, MN 55308
(612) 227-7170
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
01/29/2024
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