MEDICARE: ECHO HEALTH SOLUTIONS

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	1041C0700X	Clinical Social Worker
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1407494537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHO HEALTH SOLUTIONS

Provider Business Mailing Address
First Line	:	310 E 38TH ST STE 225
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1371
Country	:	US
Telephone Number	:	602-679-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 E 38TH ST STE 225
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1371
Country	:	US
Telephone Number	:	602-679-0020
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BASHEIR ELMI
Credential	:
Telephone Number	:	602-679-0020

Provider Enumeration Date	:	12/19/2019
Last Update Date	:	12/19/2019

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Directions to “ECHO HEALTH SOLUTIONS ” Practice Location

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