Provider Demographics
NPI:1992445332
Name:METRO CARE COUNSELING LLC
Entity type:Organization
Organization Name:METRO CARE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KHADAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-800-3662
Mailing Address - Street 1:16345 KENYON AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-8934
Mailing Address - Country:US
Mailing Address - Phone:612-800-3662
Mailing Address - Fax:
Practice Address - Street 1:16345 KENYON AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-8934
Practice Address - Country:US
Practice Address - Phone:612-800-3662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health