Lifechoice LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFECHOICE LLC

Practice address

5701 Shingle Creek Pkwy
Suite 650
Brooklyn Center, MN 55430-2467

Phone

(612) 405-5512

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

Adassa Opusunju

Title

Owner

Phone

(763) 458-2133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1487190062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY",
            "address_2": "SUITE 650",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "612-405-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY",
            "address_2": "SUITE 650",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "612-405-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "OPUSUNJU",
        "authorized_official_first_name": "ADASSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-458-2133"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 Jan 6, 2017; 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.