Kesma Flame Lily Llc

LBN: Kesma Flame Lily Llc
Kesma Flame Lily Llc is an health care organization with primary practice located at 2800 Freeway Blvd Ste 204/7, Minneapolis MN 55430-5543. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Migrant Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Kesma Flame Lily Llc can be contacted via phone (612) 408-7733, or through Thomas-Shanobi, Petronellah Thoko via phone (612) 408-7733.

Contact Information

Primary practice address
2800 Freeway Blvd Ste 204/7 Minneapolis MN 55430-5543
Phone: (612) 408-7733
Fax: (763) 292-5653
Website:
Map and Directions
Authorized official contact:
Name: Thomas-Shanobi, Petronellah Thoko LPCC
Phone: (612) 408-7733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Migrant Health 261QM1000X

Profile Details

NPI number 1295212355
LBN Legal business name Kesma Flame Lily Llc
DBA Doing business as
Authorized official Thomas-Shanobi, Petronellah Thoko LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2018
Last updated Sep 25th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1295212355 NPPES
Minnesota Other 0000000 BEHAVIORAL HEALTH
Minnesota MEDICAID 6744924000 BEHAVIORAL HEALTH

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