Essential Living LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ESSENTIAL LIVING LLC

Practice address

7201 York Ave S Apt 613
Edina, MN 55435-4444

Phone

(612) 477-8824

NPI assigned

May 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liban Hassan

Title

Administrator

Phone

(612) 477-8824

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1073360764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 613",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354444",
            "telephone_number": "612-477-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 613",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354444",
            "telephone_number": "612-477-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-477-8824"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce David Ervin, MA, LMFT
• Lisa Jean Ervin, LMFT
• Cecille Nazareno Esguerra, MSW, LICSW
• Suzanne Marie Espenson, M.D.
• Murad Mohammed Essak
• Isabel E Essler, PA-C
• Esther Vogelzang MSW Licsw LLC
• Esthesia Oral Surgery Care, PA
• Jerome Edward Euteneuer, D.D.S.
• Evans Chiropractic PA

• Adult Mental Health Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.