Provider Demographics
NPI:1629642061
Name:ABOVE ALL THERAPY LLC
Entity Type:Organization
Organization Name:ABOVE ALL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHMAD
Authorized Official - Middle Name:ABDULAZIZ
Authorized Official - Last Name:ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-964-5351
Mailing Address - Street 1:1256 WILSON AVE UNIT 107
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-5788
Mailing Address - Country:US
Mailing Address - Phone:612-964-5351
Mailing Address - Fax:
Practice Address - Street 1:1256 WILSON AVE UNIT 107
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-5788
Practice Address - Country:US
Practice Address - Phone:612-964-5351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency