MEDICARE: TRUBALANCE ASSESSMENT SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1003768813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUBALANCE ASSESSMENT SERVICE

Provider Business Mailing Address
First Line	:	12167 QUINN ST NW
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55448-1812
Country	:	US
Telephone Number	:	651-334-1308
Fax Number	:

Provider Business Practice Location Address
First Line	:	12167 QUINN ST NW
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55448-1812
Country	:	US
Telephone Number	:	651-334-1308
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAIWO H AKINOLA
Credential	:
Telephone Number	:	651-334-1308

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “TRUBALANCE ASSESSMENT SERVICE ” Practice Location

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