MEDICARE: JOYFUL JOURNEY BEHAVIORAL HEALTH LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1528868627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL JOURNEY BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	7600 BASS LAKE RD STE 104I
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-3860
Country	:	US
Telephone Number	:	612-296-9639
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 BASS LAKE RD STE 104I
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-3860
Country	:	US
Telephone Number	:	612-296-9639
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAGAL OSMAN HUSSEIN
Credential	:
Telephone Number	:	612-296-9639

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	04/21/2025

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