MEDICARE: OPTIMAL SOLUTION SERVICES

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1467117796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL SOLUTION SERVICES

Provider Business Mailing Address
First Line	:	207 E LAKE ST STE 108
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2474
Country	:	US
Telephone Number	:	612-845-0301
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 E LAKE ST STE 108
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2474
Country	:	US
Telephone Number	:	612-845-0301
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. HASSAN YUSSUF MOHAMUD
Credential	:
Telephone Number	:	612-845-0301

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	08/02/2024

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