Organization
HORIZON MENTAL AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISA MOHAMMED PSY D, LP (CLINICAL DIRECTOR)
(612) 259-7746
Entity
Organization
Contact information
Practice address
1527 E LAKE ST STE 120, MINNEAPOLIS, MN 55407-6701
(612) 259-7746
(612) 208-0618
Mailing address
1527 E LAKE ST STE 120, MINNEAPOLIS, MN 55407-6701
(612) 259-7746
(612) 208-0618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP5667
MN
103TC0700X
Clinical Psychologist
LP5667
MN
1041C0700X
Clinical Social Worker
165
MN
106H00000X
Marriage & Family Therapist
162
MN
225100000X
Physical Therapist
Primary
6097
MN
Other
Enumeration date
03/08/2013
Last updated
02/07/2017
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