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HENNEPIN AUTISM CENTER INC NPI 1275138489


NPI Information

NPI: 1275138489
Provider Name: HENNEPIN AUTISM CENTER INC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 24D0875007

Address:
2021 E HENNEPIN AVE STE LL20
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 662-1611
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HENNEPIN AUTISM CENTER INC is an adolescent and children mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. HENNEPIN AUTISM CENTER INC NPI is 1275138489. The provider is registered as an organization entity type.

The provider's business location address is:

2021 E HENNEPIN AVE STE LL20
MINNEAPOLIS, MN
ZIP 55413-738
Phone: (612) 662-1611
Fax: (651) 493-2570

The provider's authorized official is Abdiwahab Mohamed Suleiman .
The authorized official title is President and has the following contact phone number (612) 622-1611.

The CLIA number assigned to this NPI record is 24D0875007 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2020 and was last updated on 12/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.