Provider Demographics
NPI:1619420874
Name:ASPIRATIONS FAMILY SERVICES, LLP
Entity Type:Organization
Organization Name:ASPIRATIONS FAMILY SERVICES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:EZIKE-FATORMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-242-6609
Mailing Address - Street 1:6000 BASS LAKE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2768
Mailing Address - Country:US
Mailing Address - Phone:612-242-6609
Mailing Address - Fax:
Practice Address - Street 1:6000 BASS LAKE RD STE 101
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-2768
Practice Address - Country:US
Practice Address - Phone:612-242-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 3807251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health