TILAH CARE NPI 1972348811

NPI Information

NPI: 1972348811
Provider Name: TILAH CARE
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 1250 MOORE LAKE DR E STE 200-I
FRIDLEY, MN
ZIP 55432
Phone: (612) 568-8188

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NPI Details

TILAH CARE is an adult mental health clinic center in Fridley, 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 adults. TILAH CARE NPI is 1972348811. The provider is registered as an organization entity type.

The provider's business location address is:

1250 MOORE LAKE DR E STE 200-I
FRIDLEY, MN
ZIP 55432-134
Phone: (612) 568-8188

The provider's authorized official is Lisa Kingsbury .
The authorized official title is Owner and has the following contact phone number (612) 723-7343.

The enumeration date for this NPI number is 7/1/2024 and was last updated on 3/20/2025.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	Yes
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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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