MEDICARE: ASPECTS BEHAVIORAL 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447113469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPECTS BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	1401 SILVER LAKE RD NW STE 6
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-9307
Country	:	US
Telephone Number	:	612-607-4421
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 SILVER LAKE RD NW STE 6
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-9307
Country	:	US
Telephone Number	:	612-607-4421
Fax Number	:

Authorized Official
Title or Position	:	TREATMENT DIRECTOR/OWNER
Name	:	HIRSI OMAR
Credential	:
Telephone Number	:	612-607-4421

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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