Provider Demographics
NPI:1093583544
Name:SYNERGY HEALTH SERVICES
Entity Type:Organization
Organization Name:SYNERGY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABUBAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDIRASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-978-9373
Mailing Address - Street 1:7180 TARTAN CURV
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-3902
Mailing Address - Country:US
Mailing Address - Phone:612-978-9373
Mailing Address - Fax:
Practice Address - Street 1:7180 TARTAN CURV
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-3902
Practice Address - Country:US
Practice Address - Phone:612-978-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty