Healthcare Provider Details

I. General information

NPI: 1205790169
Provider Name (Legal Business Name): HORYAAL LEARNING & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15205 18TH AVE N APT 201
PLYMOUTH MN
55447-6483
US

IV. Provider business mailing address

15205 18TH AVE N APT 201
PLYMOUTH MN
55447-6483
US

V. Phone/Fax

Practice location:
  • Phone: 612-404-8409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. AZIZA HASSAN
Title or Position: CEO
Credential:
Phone: 614-404-8409