MEDICARE: ENRICH MENTAL HEALTH

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316743776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENRICH MENTAL HEALTH

Provider Business Mailing Address
First Line	:	151 SILVER LAKE RD NW UNIT 9
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	651-815-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 SILVER LAKE RD NW UNIT 9
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	651-815-1552
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALI HUSSEIN
Credential	:
Telephone Number	:	651-815-1552

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “ENRICH MENTAL HEALTH ” Practice Location

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