Provider Demographics
NPI:1043005135
Name:GEELE, WARSAN
Entity type:Individual
Prefix:
First Name:WARSAN
Middle Name:
Last Name:GEELE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WILSON AVE NE STE 207
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-0418
Mailing Address - Country:US
Mailing Address - Phone:320-428-5043
Mailing Address - Fax:320-968-1280
Practice Address - Street 1:22 WILSON AVE NE STE 207
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0418
Practice Address - Country:US
Practice Address - Phone:320-428-5043
Practice Address - Fax:320-968-1280
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst