Provider Demographics
NPI:1245984616
Name:CARE COUNSELING SERVICE, LLC
Entity type:Organization
Organization Name:CARE COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GULED
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-227-4507
Mailing Address - Street 1:2220 E FRANKLIN AVE APT 110
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2252
Mailing Address - Country:US
Mailing Address - Phone:612-227-4507
Mailing Address - Fax:
Practice Address - Street 1:2220 E FRANKLIN AVE APT 110
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2252
Practice Address - Country:US
Practice Address - Phone:612-227-4507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health