MEDICARE: NEW LIGHT SERVICES INC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245026145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LIGHT SERVICES INC

Provider Business Mailing Address
First Line	:	8075 EDEN PRAIRIE RD APT 245
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55347-3303
Country	:	US
Telephone Number	:	424-313-4938
Fax Number	:

Provider Business Practice Location Address
First Line	:	3026 15TH AVE S
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-5688
Country	:	US
Telephone Number	:	424-313-4938
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. KHALID MOHAMUD
Credential	:
Telephone Number	:	424-313-4938

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	04/17/2025

Similar Medicare Providers

1588967202 — DANA ELAINE BARTON
Practice Location Address:

19409 B F FINLEY CIR
GLEN SAINT MARY, FL
32040-5688

Practice Phone: 904-229-8005
Practice Fax:

1003762097 — SMRITI TIMALSINA
Practice Location Address:

3721 23RD ST S STE 201
SAINT CLOUD, MN
56301-6199

Practice Phone: 605-271-2690
Practice Fax: 605-271-3956

1699442160 — SHAWANDA DENISE GOODMAN APRN
Practice Location Address:

4180 THIELMAN LN STE 100
SAINT CLOUD, MN
56301-4692

Practice Phone: 320-281-3154
Practice Fax: 833-973-4798

1124975149 — HAMDI MUBARIK SAID II
Practice Location Address:

1775 ROOSEVELT RD
SAINT CLOUD, MN
56301-2207

Practice Phone: 320-774-3464
Practice Fax:

1184519993 — DYLAN JAMES
Practice Location Address:

3721 23RD ST S STE 201
SAINT CLOUD, MN
56301-6199

Practice Phone: 605-271-2690
Practice Fax: 605-271-3956

1659226702 — REBECCA N KNUTSON LMFT
Practice Location Address:

110 6TH AVE S
SAINT CLOUD, MN
56301-5209

Practice Phone: 320-253-5930
Practice Fax: 651-925-0057

Directions to “NEW LIGHT SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.