Healthcare Provider Details

I. General information

NPI: 1245984616
Provider Name (Legal Business Name): CARE COUNSELING SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 E FRANKLIN AVE APT 110
MINNEAPOLIS MN
55404-2252
US

IV. Provider business mailing address

2220 E FRANKLIN AVE APT 110
MINNEAPOLIS MN
55404-2252
US

V. Phone/Fax

Practice location:
  • Phone: 612-227-4507
  • Fax:
Mailing address:
  • Phone: 612-227-4507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. GULED MOHAMED HASSAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 612-227-4507