GROWING PATHS LLC NPI 1730074865

NPI Information

  • NPI: 1730074865
  • Provider Name: GROWING PATHS LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 11107 CRESTHAVEN TRL
    WOODBURY, MN
    ZIP 55129
  • Phone: (763) 496-8945

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NPI Details

GROWING PATHS LLC is a clinic center in Woodbury, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GROWING PATHS LLC NPI is 1730074865. The provider is registered as an organization entity type.

The provider's business location address is:

11107 CRESTHAVEN TRL
WOODBURY, MN
ZIP 55129-803
Phone: (763) 496-8945

The provider's authorized official is Ruqiyo Farah .
The authorized official title is Owner and has the following contact phone number (763) 496-8945.

The enumeration date for this NPI number is 6/10/2025 and was last updated on 6/10/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 11/21/2025

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