Afiya Spiritual Life Center, LLC

Organization Active NPI Mental Health Counselor · St Louis Park, MN

NPI 1962831107 · NPPES record last updated Nov 7, 2013

Key facts

NPI
1962831107
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
7784 (MN)
Legal business name
AFIYA SPIRITUAL LIFE CENTER, LLC
Practice address
6009 Wayzata Blvd
Suite 114
St Louis Park, MN 55416-1223
Phone
(651) 260-5419
NPI assigned
Nov 7, 2013
Organization subpart
No

Authorized official

Name
Dara Ceaser, MSW, LICSW
Title
Social Worker
Phone
(651) 260-5419

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 7784 MN Yes

Addresses

Primary practice location

6009 Wayzata Blvd
Suite 114
St Louis Park, MN 55416-1223

Mailing address

6009 Wayzata Blvd
Suite 114
St Louis Park, MN 55416-1223
Phone (651) 260-5419

Other providers in St Louis Park, MN

All providers in St Louis Park, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.