Crystal Wellness Center Llc

LBN: Crystal Wellness Center Llc
Crystal Wellness Center Llc is an health care organization with primary practice located at 9001 E Bloomington Fwy Ste 147 , Bloomington MN 55420-3450. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Crystal Wellness Center Llc can be contacted via phone (952) 658-6845, or through Farah, Ahmedweli via phone (952) 658-6845.

Contact Information

Primary practice address
9001 E Bloomington Fwy Ste 147 Bloomington MN 55420-3450
Phone: (952) 658-6845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farah, Ahmedweli
Phone: (952) 658-6845

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1194359547
LBN Legal business name Crystal Wellness Center Llc
DBA Doing business as
Authorized official Farah, Ahmedweli
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2020
Last updated Jul 17th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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