Provider Demographics
NPI:1790433480
Name:HEKIMA CULTURAL AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:HEKIMA CULTURAL AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRIZER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-382-8783
Mailing Address - Street 1:1200 MENDELSSOHN AVE N STE 211
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4376
Mailing Address - Country:US
Mailing Address - Phone:612-227-7170
Mailing Address - Fax:612-395-9184
Practice Address - Street 1:1200 MENDELSSOHN AVE N STE 211
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4376
Practice Address - Country:US
Practice Address - Phone:612-227-7170
Practice Address - Fax:612-395-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No251E00000XAgenciesHome Health