Organization
EMPOWERED BEHAVIORAL AND CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUKIYA HASSAN LICSW (OWNER)
(734) 337-0959
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 225S, GOLDEN VALLEY, MN 55422-4365
(734) 337-0959
Mailing address
1710 DOUGLAS DR N STE 225S, GOLDEN VALLEY, MN 55422-4365
(734) 337-0959
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
07/23/2024
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