Provider Demographics
NPI:1477140317
Name:LITTLE ANGELS AUTISM CENTER LLC
Entity Type:Organization
Organization Name:LITTLE ANGELS AUTISM CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARHIYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-973-1090
Mailing Address - Street 1:439 BLAKE RD N APT 204
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8190
Mailing Address - Country:US
Mailing Address - Phone:614-973-1090
Mailing Address - Fax:763-432-9169
Practice Address - Street 1:439 BLAKE RD N APT 204
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8190
Practice Address - Country:US
Practice Address - Phone:614-973-1090
Practice Address - Fax:763-432-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty