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NPI Code Detail

MEDICARE: CONNECTIONS HEALTH CENTER

MEDICARE: CONNECTIONS HEALTH CENTER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1972174621
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIONS HEALTH CENTER
Provider Business Mailing Address
First Line : 2845 BLOOMINGTON AVE APT 402
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-4009
Country : US
Telephone Number : 161-232-3187
Fax Number :
Provider Business Practice Location Address
First Line : 1919 BROADWAY ST NE STE 120
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-1253
Country : US
Telephone Number : 612-323-1871
Fax Number :
Authorized Official
Title or Position : CEO
Name : BASHIR SHEIKH ALI
Credential :
Telephone Number : 651-983-2666
Provider Enumeration Date : 07/04/2021
Last Update Date : 02/24/2025

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